Organization
ACUTE CARE SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W WAKELY M.D. (MD, OWNER)
(602) 448-6131
Entity
Organization
Contact information
Practice address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(623) 974-6611
(623) 974-9434
Mailing address
4410 W. UNION HILLS, # 7, PMB 280, GLENDALE, AZ 85308-1169
(623) 974-6611
(623) 974-9434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19206
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171322
—
AZ
05
—
Z120465
—
AZ
Enumeration date
01/09/2008
Last updated
07/21/2022
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