Diabetes Specialty Center LLC
NPI #1841279155 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1841279155
- Entity Type
- Organization
- Organization Name
- Diabetes Specialty Center LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 13, 2006
- Last Updated
- Apr 24, 2012
Practice Location
- Address
- 3793 SOUTH STATE STREET
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84115-4828
- Phone
- (801) 268-9699
Authorized Official
- Name
- MS. KIM E DOMAN
- Title
- CONTROLLER
- Phone
- (801) 263-5442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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