Wickenburg Diabetes & Wound Care Center LLC
NPI #1578361481 in Wickenburg, Arizona
Provider Information
- NPI Number
- 1578361481
- Entity Type
- Organization
- Organization Name
- Wickenburg Diabetes & Wound Care Center LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Mar 5, 2025
- Last Updated
- Nov 6, 2025
Practice Location
- Address
- 519 ROSE LN
- City
- Wickenburg
- State
- Arizona
- ZIP Code
- 85390-1448
- Phone
- (844) 888-0408
Authorized Official
- Name
- TYLER STOUT
- Title
- MANAGER
- Phone
- (337) 315-7927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
| Internal Medicine |
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