Organization
ADVANCED CARE INTERNAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIANWEN WU M.D. (PRESIDENT)
(480) 629-5113
Entity
Organization
Contact information
Practice address
485 S DOBSON RD, SUITE 106, CHANDLER, AZ 85224-5602
(480) 629-5113
(480) 821-2309
Mailing address
PO BOX 2106, CHANDLER, AZ 85244-2106
(480) 629-5113
(480) 821-2309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35127
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074612
—
AZ
Enumeration date
11/20/2007
Last updated
03/10/2008
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