Restore Wound Care LLC

NPI #1770259061 in Thornton, Colorado

Provider Information

NPI Number: 1770259061
Entity Type: Organization
Organization Name: Restore Wound Care LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 18, 2021
Last Updated: Apr 10, 2023

Practice Location

Address: 9195 GRANT ST STE 301
City: Thornton
State: Colorado
ZIP Code: 80229-4386
Phone: (720) 678-9868

Authorized Official

Name: SHAWN BARRIEAU
Title: MANAGING DIRECTOR
Phone: (709) 729-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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