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Organization
VIG HEALTHCARE LLC
Active
Organization
VIG HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE WICKLUND (MANAGER)
(602) 889-5833
Entity
Organization
Contact information
Practice address
6320 W UNION HILLS DR, STE. 1400B, GLENDALE, AZ 85308-1096
(602) 889-5833
Mailing address
6320 W UNION HILLS DR, STE. 1400B, GLENDALE, AZ 85308-1096
(602) 889-5833
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
05/14/2015
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