| NPI | 1174062376 |
|---|---|
| Doing Business As | SURGICAL WOUND CARE ASSOCIATES |
| Doing Business As | ELITE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | BRIAN LILJENQUIST Managing Partner 801-869-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: UT 8763069-1204) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 9140789-1205) |
| 208600000X Surgery (Licence: UT 8763069-1204) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: UT 8763069-1204) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 83699990501) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: UT 292357-2401) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2018-06-16 |