Modern Vascular of Sun City, LLC

NPI #1083179378 in Surprise, Arizona

Provider Information

NPI Number
1083179378
Entity Type
Organization
Organization Name
Modern Vascular of Sun City, LLC
Primary Specialty
Radiology - Vascular & Interventional Radiology
Enumeration Date
Jan 31, 2019
Last Updated
Jan 31, 2019

Practice Location

Address
14780 W MOUNTAIN VIEW BLVD STE 120
State
Arizona
ZIP Code
85374-7280
Phone
(602) 892-0917

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Radiologic Technologist - Vascular-Interventional TechnologyVascular-Interventional Technology
Radiology - Vascular & Interventional RadiologyVascular & Interventional Radiology

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