Organization
MOUNTAIN WEST MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS LYNN SHUMWAY (OWNER)
(435) 459-4407
Entity
Organization
Contact information
Practice address
301 S MAIN ST, BLANDING, UT 84511-3831
(435) 678-2239
(435) 678-3793
Mailing address
301 S MAIN ST, BLANDING, UT 84511-3831
(435) 678-2239
(435) 678-3793
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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