Innova Vein and Vascular LLC

NPI #1013398437 in Albuquerque, New Mexico

Provider Information

NPI Number: 1013398437
Entity Type: Organization
Organization Name: Innova Vein and Vascular LLC
Primary Specialty: Phlebology
Enumeration Date: Jun 11, 2015
Last Updated: Jun 11, 2015

Practice Location

Address: 4600 MONTGOMERY BLVD NE # B
Address 2: SUITE 100
City: Albuquerque
State: New Mexico
ZIP Code: 87109-1210
Phone: (719) 320-3691

Authorized Official

Name: MR. JOHN E SANCHEZ
Title: CEO
Phone: (719) 320-3691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Phlebology	202K00000X	Primary

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