| Advanced Wound Care Of Utah Pllc | |
|
13836 S Glen Laurel Cir, Riverton, UT 84065-2362 | |
| (928) 530-3230 | |
| Not Available |
| Full Name | Advanced Wound Care Of Utah Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 13836 S Glen Laurel Cir, Riverton, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568233898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Michael W Peterson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770634909 PECOS PAC ID: 5395915896 Enrollment ID: I20110818000689 |
| Provider Name | Amy K Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891100194 PECOS PAC ID: 7719293026 Enrollment ID: I20210223001424 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Care Of Utah Pllc Po Box 10634, Prescott, AZ 86304-0634 Ph: () - | Advanced Wound Care Of Utah Pllc 13836 S Glen Laurel Cir, Riverton, UT 84065-2362 Ph: (928) 530-3230 |
Mark R Elkins, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4019 W 12600 South, Suite 120, Riverton, UT 84096 Phone: 801-253-6886 Fax: 801-253-6888 | |
Summit Foot And Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065 Phone: 801-253-6886 | |
Mark R Elkins Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4019 W 12600 S, Suite 120, Riverton, UT 84096 Phone: 801-253-6886 Fax: 801-253-6888 | |
Robert Joseph Liddiard, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065 Phone: 801-253-6886 | |
Dr. Braden Russ Brklacich, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065 Phone: 801-253-6886 | |
Ingrown Toenails Only Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4019 W 12600 S Ste 120b, Riverton, UT 84096 Phone: 801-273-0001 |