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General NPI Number Information
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NPI Number | 1063094183
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Entity Type | Organization
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Legal Business Name | WOUND MASTERS MOBILE PHYSICIANS, PC
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 2325 E CAMELBACK RD STE 400H
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City | PHOENIX
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State | AZ
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Zip | 85016-3422
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Country | US
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Telephone | 520-479-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 25044 PEACHLAND AVE STE 110
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City | NEWHALL
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State | CA
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Zip | 91321-5730
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILLS NGAMFON
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Credential | PA
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Telephone | 310-400-9942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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