Organization · Type 2 NPI
Breedlove Wound Care of Arizona LLC
Medical Physician Assistant · Wickenburg, AZ
NPI number
1609743848
Active
Practice location
2230 N Vulture Mine Rd
Wickenburg, AZ 85390-4360
Mailing address
PO Box 1129
Tatum, TX 75691-1129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1609743848
Breedlove Wound Care of Arizona LLC's National Provider Identifier is 1609743848, issued on Oct 22, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wickenburg, AZ. The record was last updated on Oct 22, 2025.