Organization
COMPREHENSIVEWOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI LESTER (BILLING MANAGER)
(480) 706-0174
Entity
Organization
Contact information
Practice address
13203 N 103RD AVE, SUITE 1-10, SUN CITY, AZ 85351-3028
(480) 706-0174
(480) 706-0117
Mailing address
16515 S 40TH ST, SUITE 139, PHOENIX, AZ 85048-0558
(480) 706-0174
(480) 706-0117
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
3344
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740489251
1740489251
AZ
Enumeration date
03/10/2011
Last updated
03/10/2011
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