| Premier Wound Care Az LLC | |
|
2836 E Indian School Rd Ste A8 Phoenix AZ 85016-6864 | |
| (602) 840-0056 | |
| Not Available |
| Full Name | Premier Wound Care Az LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2836 E Indian School Rd Ste A8, Phoenix, Arizona |
| Authorized Official Name and Position | Radman Rahiminejad (OWNER) |
| Authorized Official Contact | 4809267800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Wound Care Az LLC Po Box 6610 Chandler AZ 85246-6610 Ph: (809) 262-2604 | Premier Wound Care Az LLC 2836 E Indian School Rd Ste A8 Phoenix AZ 85016-6864 Ph: (602) 840-0056 |
| NPI Number | 1710789227 |
|---|---|
| Provider Enumeration Date | 03/25/2025 |
| Last Update Date | 04/24/2025 |
| Certification Date | 04/24/2025 |
| Medicare PECOS PAC ID | 5597282004 |
|---|---|
| Medicare Enrollment ID | O20250508000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710789227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Jennifer Garcia Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184123788 PECOS PAC ID: 1456616721 Enrollment ID: I20180607002626 |
| Provider Name | Julie Maloney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376733279 PECOS PAC ID: 1052401403 Enrollment ID: I20251003002723 |
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