True Diabetes Neuropathy & Wound Solutions Az Llc | |
5171 S Cub Lake Rd Ste C330 Show Low AZ 85901-7997 | |
(928) 243-0348 | |
(928) 328-1288 |
Full Name | True Diabetes Neuropathy & Wound Solutions Az Llc |
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Speciality | General Practice |
Location | 5171 S Cub Lake Rd Ste C330, Show Low, Arizona |
Authorized Official Name and Position | Patrick Smith (CHIEF INFORMATION OFFICER) |
Authorized Official Contact | 4807401910 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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True Diabetes Neuropathy & Wound Solutions Az Llc 5171 S Cub Lake Rd Ste C330 Show Low AZ 85901-7997 Ph: (928) 243-0348 | True Diabetes Neuropathy & Wound Solutions Az Llc 5171 S Cub Lake Rd Ste C330 Show Low AZ 85901-7997 Ph: (928) 243-0348 |
NPI Number | 1912699240 |
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Provider Enumeration Date | 05/24/2023 |
Last Update Date | 02/12/2024 |
Medicare PECOS PAC ID | 3779942008 |
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Medicare Enrollment ID | O20230705002976 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912699240 | NPI | - | NPPES |
1366183212 | Other | AZ | NPI |
1598314247 | Other | AZ | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Tawnya M Grover |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598314247 PECOS PAC ID: 3072945021 Enrollment ID: I20191113002976 |
Provider Name | Carrie A Martinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902313935 PECOS PAC ID: 8628339819 Enrollment ID: I20220414001232 |
Provider Name | Shambre Chambers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992246763 PECOS PAC ID: 8527345180 Enrollment ID: I20230103001918 |
Provider Name | Debora Finch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366183212 PECOS PAC ID: 5597121715 Enrollment ID: I20231115001246 |
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