Organization
GNR VENTURES LLC
Active
Other names
Vanishing Veins of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY RAABE M.D. (MEDICAL DIRECTOR)
(480) 467-2167
Entity
Organization
Contact information
Practice address
1837 W GUADALUPE RD, SUITE 112, MESA, AZ 85202-7441
(480) 467-2167
(480) 614-4477
Mailing address
1837 W GUADALUPE RD, SUITE 112, MESA, AZ 85202-7441
(480) 467-2167
(480) 614-4477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34839
AZ
Other
Enumeration date
02/13/2008
Last updated
05/08/2008
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