Healthcare Provider Details

I. General information

NPI: 1407750516
Provider Name (Legal Business Name): EAZE MEDICAL SOLUTIONS CORPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13867 S BANGERTER PKWY # 222
DRAPER UT
84020-5318
US

IV. Provider business mailing address

13867 S BANGERTER PKWY # 222
DRAPER UT
84020-5318
US

V. Phone/Fax

Practice location:
  • Phone: 888-722-7599
  • Fax:
Mailing address:
  • Phone: 888-722-7599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: RYAN LONGHORN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 385-488-2051