Az Vascular Center #1 LLC

NPI #1265981443 in Phoenix, Arizona

Provider Information

NPI Number: 1265981443
Entity Type: Organization
Organization Name: Az Vascular Center #1 LLC
Primary Specialty: Specialist
Enumeration Date: Sep 28, 2016
Last Updated: Jan 19, 2017

Practice Location

Address: 22505 N 19TH AVE
Address 2: #101
City: Phoenix
State: Arizona
ZIP Code: 85027-2161
Phone: (314) 973-9571

Authorized Official

Name: KAREN STRONG
Title: DIRECTOR OF OPERATIONS
Phone: (314) 973-9571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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