Organization
A GIANNI VISHTEH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A GIANNI VISHTEH MD (CEO)
(480) 827-2200
Entity
Organization
Contact information
Practice address
18404 N TATUM BLVD, SUITE 205, PHOENIX, AZ 85032-1510
(480) 827-2200
(480) 827-0318
Mailing address
PO BOX 44752, PHOENIX, AZ 85064-4752
(480) 827-2200
(480) 827-0318
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
03/04/2010
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