Organization · Type 2 NPI

Dr. Brian Liljenquist PLLC

Multi-Specialty Clinic/Center · Salt Lake City, UT

NPI number 1174062376 Active

Practice location

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

Call (801) 869-4100 Map

Fax (801) 869-4119

Other practice locations

325 W Center St, Spanish Fork, UT 84660-2060 · (801) 999-0261
1250 E 3900 S Ste 440, Salt Lake City, UT 84124-1349 · (801) 999-0261

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	9140789-1205 (UT)
Surgery Physician	208600000X	8763069-1204 (UT)
Trauma Surgery Physician	2086S0127X	8763069-1204 (UT)
Foot & Ankle Surgery Podiatrist	213ES0103X	83699990501 (UT)
Geriatric Physical Therapist	2251G0304X	292357-2401 (UT)
Multi-Specialty Clinic/Center Primary	261QM1300X	8763069-1204 (UT)

Multi-Specialty Clinic/Center: Definition to come...

7 other providers at this address

Other multi-specialty clinic/center providers in Salt Lake City

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NPI record

NPI: 1174062376
Entity type: Organization (Type 2)
Issued: Feb 21, 2017
Last updated: Jun 16, 2018
Status: Active

Other names

<unavail>
Elite Primary Care · doing business as
Surgical Wound Care Associates · doing business as
Surgical Wound Care Associates · doing business as

Authorized official

Dr. Brian Liljenquist, DPM
Managing Partner
(801) 869-4100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174062376

Dr. Brian Liljenquist PLLC's National Provider Identifier is 1174062376, issued on Feb 21, 2017. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 16, 2018.