# VASCULAR VEIN & IMAGING CENTER

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

## Provider details

- **NPI number:** 1649681842
- **Authorized official:** DR. KIRK DOUGLAS MINKUS M.D. (SOLE MEMBER)
- **Authorized official phone:** (928) 276-4293

## Contact information

- **Practice address:** 2899 S HOPE DR, YUMA, AZ 85364-7487
- **Practice address phone:** (928) 276-4293
- **Practice address fax:** (928) 276-4239
- **Mailing address:** 2281 W 24TH ST, STE 1, YUMA, AZ 85364-6154
- **Mailing address phone:** (928) 276-4293
- **Mailing address fax:** (928) 276-4239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | 33081 | AZ | Yes |

## Other

- **Enumeration date:** 05/11/2014
- **Last updated:** 05/21/2014
