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Organization

ADVANCED WOUND CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS RICHMOND MD (PROVIDER/PRESIDENT)
(619) 461-1898
Entity
Organization

Contact information

Practice address
5124 BLOCH ST, SAN DIEGO, CA 92122-4005
(619) 461-1898
Mailing address
5124 BLOCH ST, SAN DIEGO, CA 92122-4005
(619) 461-1898

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A20244
CA

Other

Enumeration date
04/23/2015
Last updated
04/23/2015
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