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Diabetes Specialty Center Llc
Prosthetic/Orthotic Supplier in Provo, Utah
NPI 1245484906

Diabetes Specialty Center Llc is a Prosthetic/Orthotic Supplier based in Salt Lake City, UT. Diabetes Specialty Center Llc practices in Provo, UT. The NPI Number for Diabetes Specialty Center Llc is 1245484906 and holds a License No. (Utah).

The current practice location address for Diabetes Specialty Center Llc is 1254 N State St, Provo, UT and can be reached out via phone at 801-392-2362 and via fax at 801-392-5643. You can also correspond with Diabetes Specialty Center Llc through the mailing address at 3793 S STATE ST, SALT LAKE CITY, UT - 84115-4828 (mailing address contact number: 801-392-2362).

Location: 1254 N State St, Provo, UT, 84115-4828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245484906
Provider Name
Diabetes Specialty Center Llc
Credential
Provider Entity Type
Organization
Address
1254 N State St, Provo, UT, 84115-4828
Phone Number
801-392-2362
Fax Number
801-392-5643
Provider Enumeration Date
11/07/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5386155 05 UT
1841279155 01 UT MEDICARE NPI
institution
Provider Business Practice Location Address Details
Address
1254 N State St
City
Provo
State
Utah
Zip
84604-6432
Phone Number
801-392-2362
Fax Number
801-392-5643
person
Provider Business Mailing Address Details
Address
1254 N State St
City
Provo
State
Utah
Zip
84604-6432
Phone Number
801-392-2362
Fax Number
801-392-5643
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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