PREMIER PROVIDER HEALTH UTAH PLLC

OGDEN, UT
NPI1699311209
Doing Business AsWOUND INTEGRITY UTAH
Entity TypeOrganization
Authorized ContactNORA LOPEZ
Authorized Official
346-239-9469
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
207RI0200X Internal Medicine, Infectious Disease
Enumeration Date2019-11-19
Last Update Date2024-11-13
Business Address
PREMIER PROVIDER HEALTH UTAH PLLC
5475 S 500 E
OGDEN, UT 84405-6905
Phone number: 801-479-2111
Mailing Address
PREMIER PROVIDER HEALTH UTAH PLLC
1 CHISHOLM TRAIL RD STE 5200
ROUND ROCK, TX 78681-5090
Phone number: 512-202-3830