Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Wound Therapy-Mo, LLC

Organization Family Medicine Physician · NPI 1629935044

Advanced Wound Therapy-Mo, LLC is a Family Medicine Physician in Springfield, Missouri. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1801 W Norton Rd
Springfield, MO 65803-5303
Phone: (918) 592-9020
Fax: (918) 443-3221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1629935044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Dickman — Chief Administrative Officer · (918) 592-9020
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address2488 E 81st St Ste 2000, Tulsa, OK 74137-4224

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