Organization
AXIOM LIMITED LLC
Active
Other names
Mountain Care DME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK FULLMER (CEO)
(801) 856-2826
Entity
Organization
Contact information
Practice address
1030 WEST BELLWOOD LN, MURRAY, UT 84123
(801) 506-5012
(801) 747-3088
Mailing address
1030 WEST BELLWOOD LN, MURRAY, UT 84123
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
7529823-1714
UT
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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