Carols Mastectomy Shope
NPI #1801222401 in S Salt Lake, Utah
Provider Information
- NPI Number
- 1801222401
- Entity Type
- Organization
- Organization Name
- Carols Mastectomy Shope
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 16, 2013
- Last Updated
- Jan 27, 2014
Practice Location
- Address
- 3165 S MAIN ST
- City
- S Salt Lake
- State
- Utah
- ZIP Code
- 84115-3748
- Phone
- (801) 483-1262
Authorized Official
- Name
- MRS. SHELLIE STENQUIST
- Title
- OWNER/ MANAGER
- Phone
- (801) 483-1262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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