Organization
DIABETES SPECIALTY CENTER
Active
Organization
DIABETES SPECIALTY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC COHEN (OWNER/ PRESIDENT/CEO)
(801) 263-5442
Entity
Organization
Contact information
Practice address
1492 W ANTELOPE DR, LAYTON, UT 84041-1139
(801) 313-6864
(801) 313-6863
Mailing address
3793 S STATE ST, SALT LAKE CITY, UT 84115-4828
(800) 775-4372
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
LIC2003-00012
UT
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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