Organization
ARIZONA LYMPHEDEMA AND VASCULAR SPECIALISTS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN CHAGOLLA (VASCULAR COMPRESSION SPEACIALIST)
(623) 329-7945
Entity
Organization
Contact information
Practice address
3602 N 15TH AVE, PHOENIX, AZ 85015
(623) 329-7945
Mailing address
3602 N 15TH AVE, PHOENIX, AZ 85015-5538
(623) 329-7945
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
04001933
AZ
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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