Organization
ADVANCED WOUND PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C. SEEGMILLER (DPM)
(801) 913-6841
Entity
Organization
Contact information
Practice address
1250 E 3900 S STE 420, SALT LAKE CITY, UT 84124-1355
(385) 715-5600
(385) 715-5610
Mailing address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0821
(801) 505-0803
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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