Organization
ADVANCED WOUNDCARE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA THOMPSON (CLINIC MANAGER)
(970) 350-6071
Entity
Organization
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 350-6071
Mailing address
PO BOX 7704, LOVELAND, CO 80537-0704
(970) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46384774
—
CO
01
—
DA5845
RAILROAD MEDICARE
CO
Enumeration date
06/04/2006
Last updated
10/04/2007
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