Organization · Type 2 NPI
Stone Mountain Surgical, LLC
Customized Equipment (DME) · Cottonwood Heights, UT
NPI number
1790280816
Active
Practice location
6804 S 1300 E
Cottonwood Heights, UT 84121-2882
Fax (801) 206-3770
Mailing address
6905 S 1300 E Ste 161
Midvale, UT 84047-1817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1790280816
Stone Mountain Surgical, LLC's National Provider Identifier is 1790280816, issued on Mar 29, 2018. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Cottonwood Heights, UT. The record was last updated on Mar 29, 2018.