| Wickenburg Diabetes & Wound Care Center Llc | |
|
519 Rose Ln Wickenburg AZ 85390-1448 | |
| (337) 315-7927 | |
| Not Available |
| Full Name | Wickenburg Diabetes & Wound Care Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 519 Rose Ln, Wickenburg, Arizona |
| Authorized Official Name and Position | Tyler Stout (MANAGER) |
| Authorized Official Contact | 3373157927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wickenburg Diabetes & Wound Care Center Llc 519 Rose Ln Wickenburg AZ 85390-1448 Ph: (337) 315-7927 | Wickenburg Diabetes & Wound Care Center Llc 519 Rose Ln Wickenburg AZ 85390-1448 Ph: (337) 315-7927 |
| NPI Number | 1578361481 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578361481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Adelante Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 811 North Tegner, Suite 113, Wickenburg, AZ 85390 Phone: 480-964-2273 Fax: 623-583-8330 | |
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