Dhew Ind Hlth Sv Hlth Svs & Mntal Hlth Adm

NPI #1316097785 in Fort Duchesne, Utah

Provider Information

NPI Number
1316097785
Entity Type
Organization
Organization Name
Dhew Ind Hlth Sv Hlth Svs & Mntal Hlth Adm
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 10, 2007
Last Updated
Apr 4, 2013

Practice Location

Address
6822 EAST 1000 SOUTH
Address 2
FT DUCHESNE INDIAN HEALTH CENTER DME
State
Utah
ZIP Code
84026
Phone
(435) 722-5122

Authorized Official

Name
MR. DELBERT GARY MARTIN, RPH
Title
CHIEF PHARMACIST
Phone
(435) 725-6874

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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