# COMPREHENSIVE WOUND CARE

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

## Provider details

- **NPI number:** 1740489251
- **Authorized official:** DR. KENNETH L PETTIT D.O (OWNER PHYSICIAN)
- **Authorized official phone:** (480) 706-0174

## Contact information

- **Practice address:** 16515 S 40TH ST, SUITE 139, PHOENIX, AZ 85048-0558
- **Practice address phone:** (480) 706-0174
- **Practice address fax:** (480) 706-0117
- **Mailing address:** 16515 S 40TH ST, SUITE 139, PHOENIX, AZ 85048-0558
- **Mailing address phone:** (480) 706-0174
- **Mailing address fax:** (480) 706-0117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 06/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 887507 | — | AZ |