Healthcare Provider Details

I. General information

NPI: 1578280145
Provider Name (Legal Business Name): PEEJAMAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2022
Last Update Date: 10/25/2022
Certification Date: 10/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 W 100 S STE 510
SALT LAKE CITY UT
84101-1598
US

IV. Provider business mailing address

10 W 100 S STE 510
SALT LAKE CITY UT
84101-1598
US

V. Phone/Fax

Practice location:
  • Phone: 801-915-1307
  • Fax:
Mailing address:
  • Phone: 801-915-1307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CRAIG HAMMOND
Title or Position: CEO
Credential: MBA
Phone: 801-915-1307