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Organization

TEMPE INTERVENTIONAL TREATMENT CENTER LLC

Active
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Organization

TEMPE INTERVENTIONAL TREATMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN VIGNEAU DC (MEMBER)
(480) 887-3300
Entity
Organization

Contact information

Practice address
1001 E WARNER RD STE 107, TEMPE, AZ 85284
(480) 887-3300
(480) 887-3312
Mailing address
1001 E WARNER RD STE 103, TEMPE, AZ 85284-3224
(480) 887-3300
(480) 887-3312

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL

Other

Enumeration date
04/23/2018
Last updated
06/07/2019
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