# COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
- **Other names:** CIC - Utah, Comprehensive Interventional Care Centers, PLLC - Utah
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568965697
- **Legal business name:** COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
- **Authorized official:** JOHN J BRENNAN (CREDENTIALING)
- **Authorized official phone:** (520) 322-6274

## Contact information

- **Practice address:** 5343 S WOODROW ST STE 100, MURRAY, UT 84107-5885
- **Practice address phone:** (801) 810-2999
- **Practice address fax:** (801) 396-9157
- **Mailing address:** 4001 E BASELINE RD STE 107, GILBERT, AZ 85234-2744
- **Mailing address phone:** (480) 374-7354

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 10/26/2021