Organization
TRUE DIABETES NEUROPATHY & WOUND SOLUTIONS AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SMITH (CHIEF INFORMATION OFFICER)
(480) 740-1910
Entity
Organization
Contact information
Practice address
5171 S CUB LAKE RD STE C330, SHOW LOW, AZ 85901-7997
(928) 243-0348
(928) 328-1288
Mailing address
5171 S CUB LAKE RD STE C330, SHOW LOW, AZ 85901-7997
(928) 243-0348
(480) 977-1138
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366183212
NPI
AZ
01
—
1598314247
NPI
AZ
Enumeration date
05/24/2023
Last updated
02/12/2024
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