Organization
SONORAN VEIN AND ENDOVASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J NYE DO (OWNER)
(803) 637-7784
Entity
Organization
Contact information
Practice address
9192 W UNION HILLS DR STE 100, PEORIA, AZ 85382-8209
(602) 374-4101
(602) 441-0522
Mailing address
9192 W UNION HILLS DR STE 100, PEORIA, AZ 85382-8209
(602) 374-4101
(602) 441-0522
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712219
—
AZ
Enumeration date
06/25/2012
Last updated
04/28/2026
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