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Organization

PROTECTUS WOUND CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY S ANDERSON DMP (OWNER)
(970) 629-8609
Entity
Organization

Contact information

Practice address
4 RAVENWOOD LN, SANDY, UT 84092-4849
(970) 629-8609
Mailing address
4 RAVENWOOD LN, SANDY, UT 84092-4849
(970) 629-8609

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/12/2019
Last updated
06/12/2019
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