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Contact Information

COMPREHENSIVE WOUND CARE
16515 S 40TH ST
SUITE 139
PHOENIX, AZ85048-0558
 Phone: 480-706-0174
 Fax: 480-706-0117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE WOUND CARE

NPI # 1740489251
LBN Legal business name COMPREHENSIVE WOUND CARE
Authorized official KENNETH PETTIT - (OWNER PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2007
Last updated 06/21/2018 - About 8 years ago
Identifiers
AZ Medicaid 887507
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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