| Wound Integrity Utah Pllc | |
|
11925 S State St Draper UT 84020-7735 | |
| (801) 545-8000 | |
| Not Available |
| Full Name | Wound Integrity Utah Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11925 S State St, Draper, Utah |
| Authorized Official Name and Position | Han Pham Hulen (CEO) |
| Authorized Official Contact | 2142741507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Integrity Utah Pllc Po Box 3409 Pflugerville TX 78691-3409 Ph: (513) 252-7792 | Wound Integrity Utah Pllc 11925 S State St Draper UT 84020-7735 Ph: (801) 545-8000 |
| NPI Number | 1699311209 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 11/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699311209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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