Organization
FACA VASCULAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMBLEN DEAN FULLER (ORGANISER)
(602) 793-0310
Entity
Organization
Contact information
Practice address
1831 E QUEEN CREEK RD STE 120, CHANDLER, AZ 85286-2019
(314) 973-9571
Mailing address
1831 E QUEEN CREEK RD STE 120, CHANDLER, AZ 85286-2019
(314) 973-9571
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/20/2018
Last updated
01/20/2018
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