SUNRISE MEDICAL SUPPLY STORE NPI 1003929282

NPI Information

SUNRISE MEDICAL SUPPLY STORE is a durable medical equipment medical supplies in West Jordan, UT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SUNRISE MEDICAL SUPPLY STORE NPI is 1003929282. The provider is registered as an organization entity type.

The provider's business location address is:

1411 W 9000 S
WEST JORDAN, UT
ZIP 84088-217
Phone: (801) 563-5124
Fax: (801) 565-5866

The provider's authorized official is Steve Yaymayan .
The authorized official title is Owner and has the following contact phone number (801) 563-5124.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 8/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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