Organization
VSC PHYSIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A ANDREULA DC (OWNER)
(602) 788-4200
Entity
Organization
Contact information
Practice address
5533 E BELL RD STE 109, SCOTTSDALE, AZ 85254-1256
(602) 788-4200
Mailing address
5533 E BELL RD STE 109, SCOTTSDALE, AZ 85254-1256
(602) 788-4200
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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