Comprehensive Wound Care in Phoenix - Undersea And Hyperbaric Medicine

Comprehensive Wound Care - NPI 1740489251

Comprehensive Wound Care is a Undersea And Hyperbaric Medicine in Phoenix, Arizona. Comprehensive Wound Care practices all healthcare services and medical treatments related to Undersea And Hyperbaric Medicine. The NPI Number for Comprehensive Wound Care is 1740489251. The last update date is 2018-06-21.

Comprehensive Wound Care's current location address is 16515 S 40th St, Phoenix, Arizona. You can contact this provider via phone number 4807060174 and fax number 4807060117. The mailing address for Comprehensive Wound Care is 16515 S 40th St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Comprehensive Wound Care
Address 16515 S 40th St, Phoenix, Arizona
Phone Number 4807060174
Fax Number 4807060117
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER PHYS
Authorized Official Name Pettit L Kenneth
Credentials D.O
Telephone Number 4807060174

NPI Number Detail

NPI Number 1740489251
Provider Enumeration Date 2007-07-13
Last Updated Date 2018-06-21

Provider Mailing Address Detail

Address 16515 S 40th St
City Phoenix
State Arizona (AZ)
Post Code 850480558
Phone Number 4807060174
Fax Number 4807060117

Provider's Primary Taxonomy Detail

Speciality Undersea And Hyperbaric Medicine
Taxonomy 2083P0011X
Definition:
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infect

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
887507 AZ --

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FAQs about Comprehensive Wound Care

What is the unique 10-digit identification code issued to Comprehensive Wound Care by the Centers for Medicare & Medicaid Services?

The Comprehensive Wound Care has been assigned the NPI (National Provider Identifier) 1740489251 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Comprehensive Wound Care is physically located?

The Comprehensive Wound Care is situated at the following address: 16515 S 40Th St, Phoenix, AZ 850480558.

What is the area of specialization for Comprehensive Wound Care, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Comprehensive Wound Care is Undersea And Hyperbaric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2083P0011X.

On what date did the Comprehensive Wound Care receive the assignment of its 1740489251 from the Centers for Medicare & Medicaid Services?

The Comprehensive Wound Care was issued its 1740489251 by the Centers for Medicare & Medicaid Services on 2007-07-13.

As of what date were the details related to Comprehensive Wound Care most recently updated or revised?

The information pertaining to Comprehensive Wound Care, including its address, specialty, and other relevant details, was last updated or revised on 2018-06-21.

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