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Organization

DERMAL WOUND WIZARDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLEEN YAHL NP (OWNER)
(480) 712-6950
Entity
Organization

Contact information

Practice address
26900 N LAKE PLEASANT PARKWAY, SUITE 202, PEORIA, AZ 85383
(480) 712-6950
(623) 254-7100
Mailing address
26900 N LAKE PLEASANT PKWY STE 202, PEORIA, AZ 85383-1558
(623) 265-6271
(623) 254-7100

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
01/11/2024
Last updated
08/07/2024
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