Organization
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL R RAINWATER M.D. (PRESIDENT)
(480) 374-7354
Entity
Organization
Contact information
Practice address
838 W ELLIOT RD # 101, GILBERT, AZ 85233-5162
(480) 374-7354
(480) 371-1121
Mailing address
838 W ELLIOT RD # 101, GILBERT, AZ 85233-5162
(480) 374-7354
(480) 371-1121
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
07/11/2013
Last updated
02/22/2024
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