Organization
SOUTHWEST VASCULAR INSTITUTE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL C VAUGHN III M.D. (PRESIDENT OWNER)
(623) 435-1954
Entity
Organization
Contact information
Practice address
6677 W THUNDERBIRD RD, G 116, GLENDALE, AZ 85306-3709
(623) 435-1954
(623) 435-1955
Mailing address
6677 W THUNDERBIRD RD, G 116, GLENDALE, AZ 85306-3709
(623) 435-1954
(623) 435-1955
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
22494
AZ
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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