Organization
SANCURO WOUND CARE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN GINES (VICE PRESIDENT OF OPERATIONS)
(801) 864-1242
Entity
Organization
Contact information
Practice address
5097 S 900 E, STE. 200, SALT LAKE CITY, UT 84117-5768
(801) 944-6000
(801) 816-1426
Mailing address
5097 S 900 E, STE. 200, SALT LAKE CITY, UT 84117-5768
(801) 944-6000
(801) 816-1426
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235382276
—
UT
Enumeration date
11/03/2008
Last updated
05/04/2009
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