Healthcare Provider Details

I. General information

NPI: 1497072789
Provider Name (Legal Business Name): RP MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8415 S 700 W SUITE 20
SANDY UT
84070-6505
US

IV. Provider business mailing address

8415 S 700 W SUITE 20
SANDY UT
84070-6505
US

V. Phone/Fax

Practice location:
  • Phone: 801-566-1340
  • Fax:
Mailing address:
  • Phone: 801-566-1340
  • 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: MS. RAFAELLA PASSUELLO
Title or Position: OWNER
Credential:
Phone: 801-566-1340