Organization
AGGRESSIVE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY ANNE FORD (PRESIDENT)
(580) 920-6156
Entity
Organization
Contact information
Practice address
889 KNIGHT DR, DURANT, OK 74701-1722
(580) 920-6156
Mailing address
889 KNIGHT DR, DURANT, OK 74701-1722
(580) 920-6156
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
1932
OK
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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