| Woundpro Technologies | |
|
1430 W Ustick Rd Ste 100 Meridian ID 83646-7734 | |
| (208) 286-8670 | |
| (866) 807-6068 |
| Full Name | Woundpro Technologies |
|---|---|
| Speciality | Family Medicine |
| Location | 1430 W Ustick Rd Ste 100, Meridian, Idaho |
| Authorized Official Name and Position | Gregory Barron (CO-OWNER) |
| Authorized Official Contact | 2082501840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woundpro Technologies Po Box 1259 Meridian ID 83680-1259 Ph: (208) 286-8670 | Woundpro Technologies 1430 W Ustick Rd Ste 100 Meridian ID 83646-7734 Ph: (208) 286-8670 |
| NPI Number | 1649055120 |
|---|---|
| Provider Enumeration Date | 08/31/2023 |
| Last Update Date | 08/31/2023 |
| Medicare PECOS PAC ID | 9032551106 |
|---|---|
| Medicare Enrollment ID | O20240522000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649055120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Gregory N Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932447695 PECOS PAC ID: 9133367444 Enrollment ID: I20130528000709 |
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