Organization
TOTAL VASCULAR CARE CENTER TWO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD NEVILLE MD (OWNER)
(623) 259-5900
Entity
Organization
Contact information
Practice address
13128 N 94TH DR STE 100, PEORIA, AZ 85381-4252
(623) 259-5900
(833) 766-3364
Mailing address
13128 N 94TH DR STE 100, PEORIA, AZ 85381-4252
(623) 259-5900
(833) 766-3364
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/18/2021
Last updated
12/05/2022
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