Organization
TEMPE INTERVENTIONAL TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN VIGNEAU DC (MEMBER)
(480) 887-3300
Entity
Organization
Contact information
Practice address
1001 E WARNER RD STE 107, TEMPE, AZ 85284
(480) 887-3300
(480) 887-3312
Mailing address
1001 E WARNER RD STE 103, TEMPE, AZ 85284-3224
(480) 887-3300
(480) 887-3312
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
06/07/2019
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