Healthcare Provider Details

I. General information

NPI: 1386509552
Provider Name (Legal Business Name): INSTANT ORTHO SUPPLY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 E 12300 S
DRAPER UT
84020-8073
US

IV. Provider business mailing address

75 E 12300 S
DRAPER UT
84020-8073
US

V. Phone/Fax

Practice location:
  • Phone: 385-275-2110
  • Fax:
Mailing address:
  • Phone: 385-275-2110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTIAN SYBROWSKY
Title or Position: SURGEON
Credential:
Phone: 385-275-2110