# TOTAL VASCULAR CARE CENTER TWO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558954784
- **Authorized official:** RICHARD NEVILLE MD (OWNER)
- **Authorized official phone:** (623) 259-5900

## Contact information

- **Practice address:** 13128 N 94TH DR STE 100, PEORIA, AZ 85381-4252
- **Practice address phone:** (623) 259-5900
- **Practice address fax:** (833) 766-3364
- **Mailing address:** 13128 N 94TH DR STE 100, PEORIA, AZ 85381-4252
- **Mailing address phone:** (623) 259-5900
- **Mailing address fax:** (833) 766-3364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 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