# RESTORE VASCULAR PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RESTORE VASCULAR PLLC DBA RESTORE WELLNESS CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679384358
- **Legal business name:** RESTORE VASCULAR PLLC DBA RESTORE WELLNESS CENTER
- **Authorized official:** NATHAN IAN WELLER (OWNER)
- **Authorized official phone:** (480) 874-6808

## Contact information

- **Practice address:** 10240 W BELL RD, SUN CITY, AZ 85351-1153
- **Practice address phone:** (480) 442-3990
- **Mailing address:** 10240 W BELL RD, SUN CITY, AZ 85351-1153
- **Mailing address phone:** (480) 442-3990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/14/2025
- **Last updated:** 01/14/2025