NPI | 1861259988 |
---|---|
Doing Business As | PEAK MOBILE WOUND CARE CORP |
Entity Type | Organization |
Authorized Contact | ADRIAN MIRANDA Dir Contracts/Credentialing 602-570-3169 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Additional Taxonomies | 207N00000X Dermatology |
207NP0225X Dermatology, Pediatric Dermatology | |
Enumeration Date | 2024-03-05 |
Last Update Date | 2024-03-05 |