Organization
PREMIER MEDICAL DISTRIBUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN D WOOD (MEMBER)
(801) 652-3353
Entity
Organization
Contact information
Practice address
3447 VIA FELICIDAD WAY, SOUTH JORDAN, UT 84095-8144
(801) 652-3353
Mailing address
3447 VIA FELICIDAD WAY, SOUTH JORDAN, UT 84095-8144
(801) 652-3353
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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