Pro Health Supply

NPI #1073078903 in Provo, Utah

Provider Information

NPI Number: 1073078903
Entity Type: Organization
Organization Name: Pro Health Supply
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Feb 5, 2019
Last Updated: Feb 5, 2019

Practice Location

Address: 180 N UNIVERSITY AVE STE 270
City: Provo
State: Utah
ZIP Code: 84601-5648
Phone: (801) 940-3205

Authorized Official

Name: JASON TIPPETTS
Title: CEO
Phone: (801) 940-3205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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