Organization
ARIZONA VEIN AND VASCULAR CENTER LLC
Active
Organization
ARIZONA VEIN AND VASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIMOR PHILIPP WALL MD (OWNER)
(480) 652-3622
Entity
Organization
Contact information
Practice address
15571 N REEMS RD, SURPRISE, AZ 85374-9584
(623) 214-9235
(623) 321-1965
Mailing address
PO BOX 504652, SAINT LOUIS, MO 63150-4652
(623) 214-9235
(623) 321-1965
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/18/2011
Last updated
12/02/2013
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