Individual
ANTHONY VISVARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13509 N 142ND AVE, SURPRISE, AZ 85379-6620
(623) 239-8511
Mailing address
13509 N 142ND AVE, SURPRISE, AZ 85379-6620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN182094
AZ
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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