Source One Mobility LLC
NPI #1093924730 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1093924730
- Entity Type
- Organization
- Organization Name
- Source One Mobility LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
- Enumeration Date
- May 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4455 S 700 E
- Address 2
- SUITE 200
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84107-3153
- Phone
- (801) 281-4500
Authorized Official
- Name
- MR. ROBERT GALLUP
- Title
- PRESIDENT
- Phone
- (801) 281-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
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