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Organization
PHYSICIAN WOUND CARE SPECIALISTS OF UTAH
Active
Organization
PHYSICIAN WOUND CARE SPECIALISTS OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET R BOYLE DO (MEDICAL DIRECTOR)
(801) 590-9064
Entity
Organization
Contact information
Practice address
1220 E 3900 S STE 3A, SALT LAKE CITY, UT 84124-1326
(801) 590-9064
(801) 278-9182
Mailing address
6508 S CANYON COVE DR, HOLLADAY, UT 84121-6339
(801) 349-5711
(801) 278-9182
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
03/07/2023
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