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Organization
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Active
Organization
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Active
Parent organization
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Other names
Comprehensive Interventional Care Centers, PLLC - Flagstaff
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Authorized official
JOEL R. RAINWATER MD (PRESIDENT)
(480) 374-7354
Entity
Organization
Contact information
Practice address
2301 N 4TH ST, FLAGSTAFF, AZ 86004
(928) 719-7400
(480) 371-1121
Mailing address
4001 E BASELINE RD STE 107, GILBERT, AZ 85234-2744
(480) 374-7354
(480) 371-1121
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
Other
Enumeration date
07/24/2018
Last updated
12/22/2020
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