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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