Provider Demographics
NPI:1811635113
Name:AZ NEUROPATHY AND WOUND SOLUTIONS
Entity type:Organization
Organization Name:AZ NEUROPATHY AND WOUND SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCO-WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-977-1138
Mailing Address - Street 1:4828 S VAL VISTA DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-7323
Mailing Address - Country:US
Mailing Address - Phone:480-977-1138
Mailing Address - Fax:
Practice Address - Street 1:932 S MAIN ST # B203
Practice Address - Street 2:
Practice Address - City:SNOWFLAKE
Practice Address - State:AZ
Practice Address - Zip Code:85937-5585
Practice Address - Country:US
Practice Address - Phone:928-457-0929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty