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PHYSICIAN WOUND CARE SPECIALISTS OF UTAH NPI 1245464858


NPI Information

NPI: 1245464858
Provider Name: PHYSICIAN WOUND CARE SPECIALISTS OF UTAH
Classification: Preventive Medicine - 2083P0011X
Entity Type: Organization

Specialization: Undersea and Hyperbaric Medicine

CLIA Number: 46D2268291

Address:
1220 E 3900 S STE 3A
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 590-9064
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PHYSICIAN WOUND CARE SPECIALISTS OF UTAH is an undersea and hyperbaric medicine preventive medicine in Salt Lake City, UT. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. PHYSICIAN WOUND CARE SPECIALISTS OF UTAH NPI is 1245464858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1220 E 3900 S STE 3A
SALT LAKE CITY, UT
ZIP 84124-326
Phone: (801) 590-9064
Fax: (801) 278-9182

The provider's authorized official is Bret R Boyle .
The authorized official title is Medical Director and has the following contact phone number (801) 590-9064.

The CLIA number assigned to this NPI record is 46D2268291 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2009 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0011XPreventive MedicineUndersea and Hyperbaric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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