Organization
PRO DME LLC
Active
Organization
PRO DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN WILLIAM JOHNCOCK (CEO)
(888) 412-8087
Entity
Organization
Contact information
Practice address
2136 S RICHARDS ST STE B, SOUTH SALT LAKE, UT 84115-2606
(877) 655-7654
Mailing address
2136 S RICHARDS ST, SOUTH SALT LAKE, UT 84115-2606
(888) 412-8087
(888) 522-0355
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/01/2016
Last updated
02/08/2024
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