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Organization
TOTAL VASCULAR CARE CENTER TWO LLC
Active
Organization
TOTAL VASCULAR CARE CENTER TWO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD NEVILLE MD (OWNER)
(623) 259-5900
Entity
Organization
Contact information
Practice address
13128 N 94TH DR STE 100, PEORIA, AZ 85381-4252
(623) 259-5900
(833) 766-3364
Mailing address
13128 N 94TH DR STE 100, PEORIA, AZ 85381-4252
(623) 259-5900
(833) 766-3364
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
02/18/2021
Last updated
12/05/2022
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