Organization
ADELAAR SPECIALTY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEDRA HART (OWNER)
(307) 696-7223
Entity
Organization
Contact information
Practice address
1410 W GUADALUPE RD STE 117, GILBERT, AZ 85233-3041
(307) 696-7223
Mailing address
1410 W GUADALUPE RD STE 117, GILBERT, AZ 85233-3041
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/04/2023
Last updated
09/28/2023
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