Physician Wound Care Specialists of Utah

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

PHYSICIAN WOUND CARE SPECIALISTS OF UTAH

Practice address

1220 E 3900 S Ste 3a
Salt Lake City, UT 84124-1326

Phone

(801) 590-9064

Fax

(801) 278-9182

NPI assigned

May 11, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bret R Boyle, DO

Title

Medical Director

Phone

(801) 590-9064

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1245464858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 S CANYON COVE DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841216339",
            "telephone_number": "801-349-5711",
            "fax_number": "801-278-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 3A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241326",
            "telephone_number": "801-590-9064",
            "fax_number": "801-278-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN WOUND CARE SPECIALISTS OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "801-590-9064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.