| Surgical Wound Care Associates Pllc | |
|
6565 E Carondelet Dr Tucson AZ 85710-2157 | |
| (877) 380-2072 | |
| Not Available |
| Full Name | Surgical Wound Care Associates Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6565 E Carondelet Dr, Tucson, Arizona |
| Authorized Official Name and Position | Christina Pike (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2089826734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgical Wound Care Associates Pllc 1415 Old Weisgarber Rd Ste 350 Knoxville TN 37909-1381 Ph: () - | Surgical Wound Care Associates Pllc 6565 E Carondelet Dr Tucson AZ 85710-2157 Ph: (877) 380-2072 |
| NPI Number | 1861141863 |
|---|---|
| Provider Enumeration Date | 03/18/2022 |
| Last Update Date | 03/18/2022 |
| Medicare PECOS PAC ID | 6507253689 |
|---|---|
| Medicare Enrollment ID | O20220419001741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861141863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Brian Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326418807 PECOS PAC ID: 3476862277 Enrollment ID: I20200717001629 |
| Provider Name | Christopher Bowlin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922311547 PECOS PAC ID: 5496998080 Enrollment ID: I20220526001134 |
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