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Contact Information

AZ ADVANCED WOUND CARE, PLLC
4838 E BASELINE RD.
BUILDING #2 SUITE#113
MESA, AZ85206-4671
 Phone: 602-538-5100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for AZ ADVANCED WOUND CARE, PLLC

NPI Number 1477496925
LBN Legal business name AZ ADVANCED WOUND CARE, PLLC
Authorized official CECIL GRAHAM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2026
Last updated 04/10/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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