Medela Wound Care, LLC

NPI #1801437645 in Provo, Utah

Provider Information

NPI Number
1801437645
Entity Type
Organization
Organization Name
Medela Wound Care, LLC
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Oct 2, 2019
Last Updated
Oct 2, 2019

Practice Location

Address
2230 N UNIVERSITY PKWY STE 6B
City
Provo
State
Utah
ZIP Code
84604-1584
Phone
(801) 440-3034

Authorized Official

Name
DR. JOSEPH CLARK FYANS, MD
Title
OWNER
Phone
(801) 440-3034

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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