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Organization
TEMPE ADVANCED TREATMENT CENTER
Active
Organization
TEMPE ADVANCED TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN VIGNEAU DC (OWNER)
(480) 290-9899
Entity
Organization
Contact information
Practice address
1001 E WARNER RD STE 103, TEMPE, AZ 85284-3224
(480) 897-3300
Mailing address
PO BOX 11180, TEMPE, AZ 85284-0020
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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