Organization
PALM VEIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY H DRAGON RVT (CEO)
(623) 201-4777
Entity
Organization
Contact information
Practice address
16944 W BELL RD, #603, SURPRISE, AZ 85374-8950
(623) 201-4777
(623) 201-4770
Mailing address
16944 W BELL RD, SUITE 603, SURPRISE, AZ 85374-8950
(623) 201-4777
(623) 201-4770
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2012
Last updated
07/17/2013
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