Center for Vein Restoration Az LLC

NPI #1215411970 in Mesa, Arizona

Provider Information

NPI Number: 1215411970
Entity Type: Organization
Organization Name: Center for Vein Restoration Az LLC
Primary Specialty: Surgery
Enumeration Date: Sep 19, 2018
Last Updated: Apr 30, 2024

Practice Location

Address: 1500 S DOBSON RD STE 310
City: Mesa
State: Arizona
ZIP Code: 85202-4751
Phone: (855) 830-8346

Authorized Official

Name: LORENA THOMAS
Title: CREDENTIALING MANAGER
Phone: (815) 254-1761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Surgery	208600000X	Primary

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