| Advanced Wound Therapy - Ar, Llc | |
|
593 S Horsebarn Rd Ste 200 Rogers AR 72758-8798 | |
| (918) 592-9020 | |
| Not Available |
| Full Name | Advanced Wound Therapy - Ar, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 593 S Horsebarn Rd Ste 200, Rogers, Arkansas |
| Authorized Official Name and Position | Darwin Griffeth (COO) |
| Authorized Official Contact | 9185929020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Therapy - Ar, Llc 2488 E 81st St Ste 2000 Tulsa OK 74137-4224 Ph: (918) 592-9020 | Advanced Wound Therapy - Ar, Llc 593 S Horsebarn Rd Ste 200 Rogers AR 72758-8798 Ph: (918) 592-9020 |
| NPI Number | 1427854926 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 07/28/2025 |
| Medicare PECOS PAC ID | 3476072901 |
|---|---|
| Medicare Enrollment ID | O20250604003942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427854926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas Kent Denmark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881629079 PECOS PAC ID: 4082746078 Enrollment ID: I20250509002427 |
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