Stone Mountain Surgical, LLC
NPI #1790280816 in Cottonwood Heights, Utah
Provider Information
- NPI Number
- 1790280816
- Entity Type
- Organization
- Organization Name
- Stone Mountain Surgical, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Mar 29, 2018
- Last Updated
- Mar 29, 2018
Practice Location
- Address
- 6804 S 1300 E
- State
- Utah
- ZIP Code
- 84121-2882
- Phone
- (801) 571-2295
Authorized Official
- Name
- MR. BLAKE SEIFERS
- Title
- OWNER
- Phone
- (801) 571-2295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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