Organization
DRAGONFLY ADVANCED WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB WILES (PRACTICE MANAGER)
(317) 690-5706
Entity
Organization
Contact information
Practice address
6835 E SOUTHPORT RD STE D, INDIANAPOLIS, IN 46237-9714
(317) 572-7076
(586) 204-2483
Mailing address
6835 E SOUTHPORT RD STE D, INDIANAPOLIS, IN 46237-9714
(317) 572-7076
(586) 204-2483
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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