Organization
RESTORE VASCULAR PLLC
Active
Organization
RESTORE VASCULAR PLLC
Active
Parent organization
RESTORE VASCULAR PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTORE VASCULAR PLLC
Authorized official
NATHAN IAN WELLER (OWNER)
(480) 874-6808
Entity
Organization
Contact information
Practice address
7555 E OSBORN RD STE 104, SCOTTSDALE, AZ 85251-6468
(480) 442-3990
Mailing address
7555 E OSBORN RD STE 104, SCOTTSDALE, AZ 85251-6468
(480) 442-3990
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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