Organization
PRIME WOUND & FOOT CARE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SIMON (OWNER)
(442) 353-0488
Entity
Organization
Contact information
Practice address
4050 AIRPORT CENTER DR STE B2, PALM SPRINGS, CA 92264-1216
(760) 318-0220
(760) 318-2288
Mailing address
4050 AIRPORT CENTER DR STE B2, PALM SPRINGS, CA 92264-1216
(760) 318-0220
(760) 318-0220
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
12/20/2023
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