Carols Mastectomy Shope
Carols Mastectomy Shope is a Durable Medical Equipment & Medical Supplies in S Salt Lake, Utah. Licensed in Utah. Registered with an NPI since 2013.
- Licensed in
- UT
- In the registry since
- 2013
Practice location Address checks out
3165 S Main StS Salt Lake, UT 84115-3748
Phone: (801) 483-1262
Fax: (801) 483-1287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 003872 (UT) |
|---|
Record details
| NPI number | 1801222401 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shellie Stenquist — Owner/ Manager · (801) 483-1262 |
| NPI enumerated | September 16, 2013 |
| Last updated in NPPES | January 27, 2014 |
| Mailing address | 3165 S Main St, S Salt Lake, UT 84115-3748 |