Organization
DESERT OAK PHOTOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN DALE BRINKERHOFF (OWNER)
(435) 680-5606
Entity
Organization
Contact information
Practice address
922 E CORRAL WAY, WASHINGTON, UT 84780-8249
(435) 632-0375
Mailing address
922 E CORRAL WAY, WASHINGTON, UT 84780-8249
(435) 632-0375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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