Advanced Wound Care, LLC
NPI #1083226369 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1083226369
- Entity Type
- Organization
- Organization Name
- Advanced Wound Care, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 19, 2020
- Last Updated
- Jun 17, 2022
Practice Location
- Address
- 800 N 100 E
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660-5577
- Phone
- (801) 592-3724
Authorized Official
- Name
- KRISTEEN BAILEY
- Title
- OWNER
- Phone
- (801) 592-3724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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| Ross Kelley Thueson, M.D. | |
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