Organization
SPECIALIZED WOUND MANAGEMENT LLC
Active
Other names
Specialized Wound Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL LEE HARTMANN (TREASURER)
(636) 733-7000
Entity
Organization
Contact information
Practice address
14805 N OUTER 40 RD, SUITE 320, CHESTERFIELD, MO 63017-6060
(888) 811-4677
(800) 605-8906
Mailing address
14805 N OUTER 40 RD, SUITE 300, CHESTERFIELD, MO 63017-6060
(636) 733-7000
(636) 733-7010
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
08/12/2014
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