# PREMIER WOUND CARE AZ LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710789227
- **Authorized official:** RADMAN RAHIMINEJAD (OWNER)
- **Authorized official phone:** (480) 926-7800

## Contact information

- **Practice address:** 2836 E INDIAN SCHOOL RD STE A8, PHOENIX, AZ 85016-6864
- **Practice address phone:** (602) 840-0056
- **Mailing address:** PO BOX 6610, CHANDLER, AZ 85246-6610
- **Mailing address phone:** (809) 262-2604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/25/2025
- **Last updated:** 04/24/2025