Organization
ALTA MEDICAL SUPPLY LLC
Active
Other names
Alta Medical Supply LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON JONE (OWNER)
(801) 505-0821
Entity
Organization
Contact information
Practice address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0820
(801) 505-0802
Mailing address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0820
(801) 505-0802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/23/2022
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