Organization
WOOD FARM MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RADMAN RAHIMINEJAD (OWNER)
(480) 926-7800
Entity
Organization
Contact information
Practice address
555 BYPASS HIGHWAY 123 STE C, SENECA, SC 29678-0810
(480) 926-7800
Mailing address
2250 E GERMANN RD STE 8, CHANDLER, AZ 85286-1575
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/11/2019
Last updated
08/19/2021
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