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Organization
MEDICAL WIG SPECIALIST LLC
Active
Organization
MEDICAL WIG SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENITA PARKER (OWNER)
(661) 714-4665
Entity
Organization
Contact information
Practice address
2056 E 3300 S, MILLCREEK, UT 84109-2665
(385) 202-4622
Mailing address
2056 E 3300 S, MILLCREEK, UT 84109-2665
(661) 714-4665
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NULL
Other
Enumeration date
09/30/2026
Last updated
09/30/2026
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