NPI | 1912700105 |
---|---|
Doing Business As | SOUTHWEST WOUND MANAGEMENT |
Entity Type | Organization |
Authorized Contact | IAN KINTANAR Managing Member 702-818-9439 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2025-03-31 |
Last Update Date | 2025-03-31 |