HomeNPI Verification

NPI Verification

National Provider Identifier: 1619863404

Advanced Wound Therapy Idaho PLLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

2488 E 81ST ST STE 2000

TULSA, OK 741374224

Phone: 918-592-9020

NPI Enumeration Date

June 17, 2025

NPI Number

1619863404

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry