Organization
SOUTHWEST WOUND CENTER LLC
Active
Parent organization
SOUTHWEST EMERGENCY PHYSICIANS, P.L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST EMERGENCY PHYSICIANS, P.L.L.C.
Authorized official
MATTHEW DICKSON DO (PRESIDENT)
(619) 258-6200
Entity
Organization
Contact information
Practice address
1501 W 24TH ST, #205, YUMA, AZ 85364-6370
(928) 344-2000
Mailing address
340 W 32ND ST, # 547, YUMA, AZ 85364-8128
(619) 258-6200
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
4064
AZ
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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