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Modern Shoe, Inc.
Durable Medical Equipment & Medical Supplies in Provo, Utah
NPI 1225219587

Modern Shoe, Inc. is a Durable Medical Equipment & Medical Supplies based in Provo, UT. Modern Shoe, Inc. practices in Provo, UT. The NPI Number for Modern Shoe, Inc. is 1225219587 and holds a License No. (Utah).

The current practice location address for Modern Shoe, Inc. is 350 W Center St, Provo, UT and can be reached out via phone at 801-375-2711 and via fax at 801-371-0060.

Location: 350 W Center St, Provo, UT, 84601-4323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225219587
Provider Name
Modern Shoe, Inc.
Credential
Provider Entity Type
Organization
Address
350 W Center St, Provo, UT, 84601-4323
Phone Number
801-375-2711
Fax Number
801-371-0060
Provider Enumeration Date
11/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
350 W Center St
City
Provo
State
Utah
Zip
84601-4323
Phone Number
801-375-2711
Fax Number
801-371-0060
person
Provider Business Mailing Address Details
Address
350 W Center St
City
Provo
State
Utah
Zip
84601-4323
Phone Number
801-375-2711
Fax Number
801-371-0060
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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