SURGICAL WOUND CARE ASSOCIATES - NPI 1174062376 - Clinic/Center in Salt Lake City, UT

Q: What is Dr. Brian Liljenquist PLLC's NPI number?

The NPI number for Dr. Brian Liljenquist PLLC is 1174062376. It was assigned to this organization in the NPPES registry on February 21, 2017. The provider is doing business as Surgical Wound Care Associates and Elite Primary Care.

Q: What is Dr. Brian Liljenquist PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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About Surgical Wound Care Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL WOUND CARE ASSOCIATES (NPI 1174062376) is a healthcare organization registered as a multi-specialty in Salt Lake City, Utah and active in the NPI registry since February 2017. The organization maintains 2 additional practice locations and lists Brian Liljenquist, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1174062376

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameDR. BRIAN LILJENQUIST PLLC

Location Address1250 E 3900 S STE 440Salt Lake City, UT 84124

Mailing Address1250 E 3900 S Ste 440Salt Lake City, UT 84124-1349 · (801) 869-4100 · Fax (801) 869-4119

Phone(801) 869-4100

Fax(801) 869-4119

Organization SubpartNo

Authorized OfficialBrian LiljenquistManaging Partner · (801) 869-4100

Enumeration DateFebruary 21, 2017

Last NPPES UpdateJune 16, 20183 updates tracked since enumeration

✔ NPI 1174062376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

License✔ Licensed in UT · 8763069-1204

Also ListedFamily MedicineTaxonomy 207Q00000X · License 9140789-1205 (UT)

Also ListedSurgeryTaxonomy 208600000X · License 8763069-1204 (UT)

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 8763069-1204 (UT)

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 83699990501 (UT)

Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License 292357-2401 (UT)

1250 E 3900 S STE 440, Salt Lake City, UT 84124

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Other Names 2

Doing Business AsSurgical Wound Care Associates

Doing Business AsElite Primary Care

Secondary Practice Locations 2

Location 1325 W Center StSpanish Fork, UT 84660-2060 · Phone (801) 999-0261 · Fax (844) 436-6836

Location 21250 E 3900 S Ste 440Salt Lake City, UT 84124-1349 · Phone (801) 999-0261 · Fax (844) 436-6836

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEIDI AASE WINEGAR MSN, APRN, AGACNP-BC

Nurse Practitioner

1250 E 3900 S STE 440
SLC, UT 84124

Salt Lake County (801) 869-4100

TAELYR STEVENSON APRN

Nurse Practitioner