Fort Defiance Industries

NPI #1801640016 in Loudon, Tennessee

Provider Information

NPI Number: 1801640016
Entity Type: Organization
Organization Name: Fort Defiance Industries
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Apr 15, 2024
Last Updated: Apr 15, 2024

Practice Location

Address: 2411 MAREMONT PKWY
City: Loudon
State: Tennessee
ZIP Code: 37774-1066
Phone: (865) 657-6106

Authorized Official

Name: CHRIS HEARP
Title: PRESIDENT
Phone: (865) 657-6106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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