NPI Provider: 1346245065
Contact Name: Shields A Barbara
Position: Secretary-Treasurer
Phone: (801) 467-5483
Shields Orthotic Prosthetic Services, Inc. Information:
Shields Orthotic Prosthetic Services, Inc. organization have npi 1346245065, taxonomy code is 335E00000X with license number is ME17740 in . This Business address located in 2785 E 3300 S, Salt Lake City, UT 84109 Utah.
Practice Location
Address: 2785 E 3300 S, Salt Lake City, UT 84109
Phone: (801) 467-5483
Business Location
Address: 2785 E 3300 S, Salt Lake City, UT 84109
Phone: (801) 467-5483
Fax: (801) 484-4591
Taxonomy
Taxonomy Code: 335E00000X
License Number: ME17740
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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