Organization
BRAVO UNITED MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN VIGNEAU MBR (OWNER)
(602) 265-1611
Entity
Organization
Contact information
Practice address
1001 E WARNER RD, TEMPE, AZ 85284-3224
(602) 265-1611
Mailing address
1001 E WARNER RD, TEMPE, AZ 85284-3224
(602) 265-1611
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2017
Last updated
07/21/2022
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