NPI | 1144927336 |
---|---|
Doing Business As | PREMIER WOUND SOLUTIONS UT LLC |
Entity Type | Organization |
Authorized Contact | PETE SIMMONS Authorized Offical 877-223-8007 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-02-08 |
Last Update Date | 2023-05-09 |