| NPI | 1699918235 |
|---|---|
| Former Legal Business Name | NORTHWEST WOUND CARE SPECIALISTS, INC. |
| Entity Type | Organization |
| Authorized Contact | SCOTT M BOLHACK Owner/Authorized Official 520-670-0745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2019-04-10 |