| Premier Wound Solutions Ut Llc | |
|
159 W Broadway Ste 200 Salt Lake City UT 84101-1923 | |
| (877) 223-8007 | |
| Not Available |
| Full Name | Premier Wound Solutions Ut Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 159 W Broadway Ste 200, Salt Lake City, Utah |
| Authorized Official Name and Position | Pete Simmons (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 8772238007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Wound Solutions Ut Llc 3340 N 16th Ave Ste 200 Phoenix AZ 85015-5834 Ph: (602) 441-2808 | Premier Wound Solutions Ut Llc 159 W Broadway Ste 200 Salt Lake City UT 84101-1923 Ph: (877) 223-8007 |
| NPI Number | 1144927336 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144927336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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