Organization
FREEDOM HEALTH VASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DOYLE (OPERATIONS MANAGER)
(602) 740-5375
Entity
Organization
Contact information
Practice address
6036 N 19TH AVE STE 204, PHOENIX, AZ 85015-2104
(480) 616-0356
(480) 616-0603
Mailing address
DEPT#880390, P.O BOX 29650, PHOENIX, AZ 85038
(480) 626-1746
(480) 626-2690
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598527
—
AZ
Enumeration date
04/04/2019
Last updated
12/20/2023
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