Diabetes Specialty Center LLC

NPI #1245484906 in Provo, Utah

Provider Information

NPI Number: 1245484906
Entity Type: Organization
Organization Name: Diabetes Specialty Center LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DIABETES SPECIALTY CENTER, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Nov 7, 2008
Last Updated: Mar 16, 2012

Practice Location

Address: 1254 N STATE ST
City: Provo
State: Utah
ZIP Code: 84604-6432
Phone: (801) 392-2362

Authorized Official

Name: MR. MARC COHEN
Title: PRESIDENT
Phone: (801) 743-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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