Specialized Wound Management LLC
NPI #1962430157 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1962430157
- Entity Type
- Organization
- Organization Name
- Specialized Wound Management LLC
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Jun 28, 2006
- Last Updated
- Aug 12, 2014
Practice Location
- Address
- 14805 N OUTER 40 RD
- Address 2
- SUITE 320
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63017-6060
- Phone
- (888) 811-4677
Authorized Official
- Name
- MR. GAIL LEE HARTMANN
- Title
- TREASURER
- Phone
- (636) 733-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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