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Organization
SOUTHWEST WOUND MANAGEMENT LLC
Active
Organization
SOUTHWEST WOUND MANAGEMENT LLC
Active
Other names
Southwest Wound Management
Organization subpart
No
Provider details
NPI number
Authorized official
IAN KINTANAR (MANAGING MEMBER)
(702) 818-9439
Entity
Organization
Contact information
Practice address
2235 E FLAMINGO RD STE 142, LAS VEGAS, NV 89119-0806
(702) 818-9439
Mailing address
2235 E FLAMINGO RD STE 142, LAS VEGAS, NV 89119-0806
(702) 818-9439
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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