Organization
VALLEY VIEW PHYSICIAN PRACTICES LLC
Active
Other names
Vascular Institute of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
5300 HWY 95, SUITE D, FORT MOHAVE, AZ 86426-9251
(928) 770-4984
(928) 770-4987
Mailing address
5300 HWY 95, SUITE H, FORT MOHAVE, AZ 86426-9251
(928) 770-4984
(928) 770-4987
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
01/12/2025
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