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Organization
ELITE VASCULAR, VEIN, AND SURGICAL SPECIALISTS, LLC
Active
Organization
ELITE VASCULAR, VEIN, AND SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SKY MOORE DC (MANAGER/OWNER)
(602) 354-5659
Entity
Organization
Contact information
Practice address
10255 N 32ND ST, PHOENIX, AZ 85028-3851
(602) 354-5659
(602) 795-9948
Mailing address
2813 E CAMELBACK RD, SUITE 430, PHOENIX, AZ 85016-4325
(602) 354-5659
(602) 795-9949
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AZ
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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