Organization · NPI-2

1st Care Wound Clinic PLLC

Family Medicine · Sun City, AZ

NPI number1609622406
StatusActive
Last updated in NPPESMay 18, 2024

Details

NPI
1609622406
Entity type
Organization (NPI-2)
Legal business name
1st Care Wound Clinic PLLC
Organization subpart
No
Enumeration date
Apr 24, 2024
Certification date
May 18, 2024
Last updated
May 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
363L00000X Nurse Practitioner––

Practice location

10147 Grand Ave # C4
Sun City, AZ 85351-3435

Phone 480-588-5464

Mailing address

10147 Grand Ave # C4
Sun City, AZ 85351-3435

Phone 480-588-5464

Other practice locations

637 E Main St Ste B
Mesa, AZ 85203-8791

Phone 480-588-5464

1635 W Glendale Ave
Phoenix, AZ 85021-8813

Phone 480-588-5464

Authorized official

Rajesh Pillai
President
4805885464

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