Organization
FORTUNE VEIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LLOYD FORTUNE MD (MANAGING EMPLOYEE)
(480) 991-2100
Entity
Organization
Contact information
Practice address
7125 E LINCOLN DR, SUITE B109, SCOTTSDALE, AZ 85253-4429
(480) 991-2100
(480) 991-2102
Mailing address
7125 E LINCOLN DR, SUITE B109, SCOTTSDALE, AZ 85253-4429
(480) 991-2100
(480) 991-2102
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
13540
AZ
Other
Enumeration date
09/12/2005
Last updated
08/22/2020
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