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Organization

PROHEALTH BRACES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN PEREZ (CEO)
(954) 496-3107
Entity
Organization

Contact information

Practice address
1172 S HIGHWAY 118 STE 101, RICHFIELD, UT 84701-3116
(435) 287-4444
Mailing address
1172 S HIGHWAY 118 STE 101, RICHFIELD, UT 84701-3116
(435) 287-4444

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/18/2016
Last updated
10/18/2016
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