Organization
WOUND CARE ASSOCIATES LLC
Active
Other names
THE WOUND CARE CLINICS OF ARIZONA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH O ANAEME MD (MANAGING MEMBER)
(602) 680-0236
Entity
Organization
Contact information
Practice address
2600 E SOUTHERN AVE STE F2, TEMPE, AZ 85282-7626
(480) 625-4704
Mailing address
PO BOX 11773, CHANDLER, AZ 85248-0013
(480) 907-7707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
11/16/2018
Last updated
11/16/2018
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