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Individual

ARASH GIANCARLO VISHTEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18404 N TATUM BLVD, 205, PHOENIX, AZ 85032-1510
(480) 827-2200
(480) 827-0318
Mailing address
PO BOX 44752, PHOENIX, AZ 85064-4752
(480) 827-2200
(480) 827-0318

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
24746
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
467474
AZ
Enumeration date
08/26/2006
Last updated
03/04/2010
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