Provider Demographics
NPI:1215376298
Name:ACCELECARE WOUND PROFESSIONALS LLC
Entity Type:Organization
Organization Name:ACCELECARE WOUND PROFESSIONALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTI
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTURZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-252-7683
Mailing Address - Street 1:4225 FLEUR DR # 190
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50321-2325
Mailing Address - Country:US
Mailing Address - Phone:800-261-0048
Mailing Address - Fax:
Practice Address - Street 1:4225 FLEUR DR # 190
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50321-2325
Practice Address - Country:US
Practice Address - Phone:800-261-0048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-23
Last Update Date:2013-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty