Organization
ARIZONA ENDOVASCULAR CENTER PLLC
Active
Organization
ARIZONA ENDOVASCULAR CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BERENS MD (PARTNER)
(520) 296-5500
Entity
Organization
Contact information
Practice address
6377 E TANQUE VERDE RD STE 101, TUCSON, AZ 85715-3839
(520) 296-5500
(520) 296-5800
Mailing address
6377 E TANQUE VERDE RD STE 101, TUCSON, AZ 85715-3839
(520) 296-5500
(520) 296-5800
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA8633
MEDICARE RAILROAD
AZ
Enumeration date
03/26/2007
Last updated
01/14/2022
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