Organization
WOUNDTECH OF UTAH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINGHSUN LIU MD (AUTHORIZED OFFICAIL)
(310) 734-8526
Entity
Organization
Contact information
Practice address
517 D ST, SALT LAKE CITY, UT 84103-2831
(954) 923-7440
(954) 923-1299
Mailing address
PO BOX 202389, DALLAS, TX 75320-2389
(954) 923-7440
(954) 923-1299
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11302963-1205
UTAH MEDICAL BOARD
UT
Enumeration date
10/03/2019
Last updated
12/16/2025
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