Organization
AZ VASCULAR CENTER #1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN STRONG (DIRECTOR OF OPERATIONS)
(314) 973-9571
Entity
Organization
Contact information
Practice address
22505 N 19TH AVE, #101, PHOENIX, AZ 85027-2161
(314) 973-9571
Mailing address
3530 S VAL VISTA DR, #106, GILBERT, AZ 85297-7318
(314) 973-9571
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
01/19/2017
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