Organization
AMERICAN WOUND CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK DE JONGH (MANAGING MEMBER)
(480) 912-5456
Entity
Organization
Contact information
Practice address
1837 S MESA DR # C200, MESA, AZ 85210-6246
(480) 912-5456
Mailing address
1837 S MESA DR # C200, MESA, AZ 85210-6246
(480) 912-5456
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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