Organization
RESTORE MEDICAL & WOUND EXPERTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BRIONES OTR/L (MANAGER)
(623) 265-3786
Entity
Organization
Contact information
Practice address
12725 W INDIAN SCHOOL RD STE E101, AVONDALE, AZ 85392-9525
(623) 265-3786
Mailing address
12725 W INDIAN SCHOOL RD STE E101, AVONDALE, AZ 85392-9525
(623) 265-3786
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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