Organization
PREMIER WOUND SOLUTIONS UT LLC
Active
Other names
Premier Wound Solutions UT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PETE SIMMONS (AUTHORIZED OFFICAL)
(877) 223-8007
Entity
Organization
Contact information
Practice address
159 W BROADWAY STE 200, SALT LAKE CITY, UT 84101-1923
(877) 223-8007
Mailing address
3340 N 16TH AVE STE 200, PHOENIX, AZ 85015-5834
(602) 441-2808
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
05/09/2023
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