Organization · Type 2 NPI

Modern Shoe, Inc.

Durable Medical Equipment & Medical Supplies · Provo, UT

NPI number 1225219587 Active

Practice location

350 W Center St
Provo, UT 84601-4323

Call (801) 375-2711 Map

Fax (801) 371-0060

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: 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.

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About NPI 1225219587

Modern Shoe, Inc.'s National Provider Identifier is 1225219587, issued on Nov 15, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Provo, UT. The record was last updated on May 28, 2010.