Organization
VASCULAR SURGERY SPECIALIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS JOHN CARLON MD (PRESIDENT)
(602) 277-7430
Entity
Organization
Contact information
Practice address
2601 N 3RD ST, SUITE 203, PHOENIX, AZ 85004-1104
(602) 277-7430
(602) 279-5333
Mailing address
2601 N 3RD ST, SUITE 203, PHOENIX, AZ 85004-1104
(602) 277-7430
(602) 279-5333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
10/01/2007
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