Organization
PW HEALTHCARE, LLC
Active
Other names
Greenway Healthcenter
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE WICKLUND (MANAGER)
(602) 889-5833
Entity
Organization
Contact information
Practice address
3202 E GREENWAY RD STE 1619, PHOENIX, AZ 85032-4553
(602) 889-5833
(602) 889-5834
Mailing address
PO BOX 2954, PHOENIX, AZ 85082
(602) 889-5833
(602) 889-5834
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
01/23/2014
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