Organization
PEAK MOBILE WOUND CARE CORP
Active
Parent organization
PEAK MOBILE WOUND CARE CORP
Other names
PEAK MOBILE WOUND CARE CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEAK MOBILE WOUND CARE CORP
Authorized official
ADRIAN MIRANDA (DIR-CONTRACTS/CREDENTIALING)
(602) 570-3169
Entity
Organization
Contact information
Practice address
9375 E. SHEA BLVD, SUITE 100, SCOTTSDALE, AZ 85260
(623) 239-9174
Mailing address
9375 E. SHEA BLVD, SUITE 100, SCOTTSDALE, AZ 85260
(623) 239-9174
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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