Organization
OXYGEN UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONAS THEODORE WILKINSON (VICE PRESIDENT)
(801) 417-8099
Entity
Organization
Contact information
Practice address
3587 W 4700 S, TAYLORSVILLE, UT 84129-2846
(801) 417-8099
(801) 417-8078
Mailing address
3587 W 4700 S, TAYLORSVILLE, UT 84129-2846
(801) 417-8099
(801) 417-8078
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
7906715-1710
UT
Other
Enumeration date
10/11/2012
Last updated
04/30/2013
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