Modern Shoe, Inc
Modern Shoe, Inc is a Durable Medical Equipment & Medical Supplies in Provo, Utah. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
350 W Center StProvo, UT 84601-4323
Phone: (801) 375-2711
Fax: (801) 371-0060
Show map & directions
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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 |
|---|
Record details
| NPI number | 1225219587 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Thomas — President · (801) 375-2711 |
| NPI enumerated | November 15, 2007 |
| Last updated in NPPES | May 28, 2010 |
| Mailing address | 350 W Center St, Provo, UT 84601-4323 |
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