Organization
PARTNER MEDICAL UT LLC
Active
Other names
Partner Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY D SEVERSON (PRESIDENT)
(605) 275-0083
Entity
Organization
Contact information
Practice address
12393 GATEWAY PARK PL, SUITE 50, DRAPER, UT 84020-2309
(605) 275-0083
(866) 590-2137
Mailing address
12393 GATEWAY PARK PL, SUITE 50, DRAPER, UT 84020-2309
(605) 275-0083
(866) 590-2137
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
03/27/2014
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