Organization
MEDICAL INFORMATION TECHNOLOGY
Active
Other names
Vein Supply
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX KIM (MANAGER)
(480) 788-8652
Entity
Organization
Contact information
Practice address
333 N DOBSON RD, STE 5, CHANDLER, AZ 85224-4412
(480) 788-8652
Mailing address
333 N DOBSON RD, STE 5, CHANDLER, AZ 85224-4412
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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