Organization
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Active
Parent organization
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Authorized official
JOEL R. RAINWATER MD (CEO, CMO)
(480) 374-7354
Entity
Organization
Contact information
Practice address
130 S 63RD ST STE 101, MESA, AZ 85206-1620
(480) 985-6000
(480) 985-8641
Mailing address
4001 E BASELINE RD STE 107, GILBERT, AZ 85234-2744
(480) 374-7354
(480) 371-1121
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
213E00000X
Podiatrist
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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