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Organization
RESTORE VASCULAR PLLC
Active
Organization
RESTORE VASCULAR PLLC
Active
Parent organization
RESTORE VASCULAR PLLC DBA RESTORE WELLNESS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTORE VASCULAR PLLC DBA RESTORE WELLNESS CENTER
Authorized official
NATHAN IAN WELLER (OWNER)
(480) 874-6808
Entity
Organization
Contact information
Practice address
10240 W BELL RD, SUN CITY, AZ 85351-1153
(480) 442-3990
Mailing address
10240 W BELL RD, SUN CITY, AZ 85351-1153
(480) 442-3990
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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