Modern Vascular of Glendale, LLC

NPI #1063947638 in Glendale, Arizona

Provider Information

NPI Number
1063947638
Entity Type
Organization
Organization Name
Modern Vascular of Glendale, LLC
Primary Specialty
Radiology - Vascular & Interventional Radiology
Enumeration Date
Apr 20, 2017
Last Updated
Jul 11, 2018

Practice Location

Address
11851 N 51ST AVE
Address 2
BUILDING G
State
Arizona
ZIP Code
85304
Phone
(818) 949-2634

Authorized Official

Name
YURY GAMPEL
Title
MANAGER
Phone
(818) 880-8605

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease
Internal Medicine - Interventional CardiologyInterventional Cardiology
Podiatrist
Radiology - Vascular & Interventional RadiologyVascular & Interventional Radiology

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