Organization
NATIONAL VASCULAR INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER BRANNAN (MANAGER)
(602) 770-7640
Entity
Organization
Contact information
Practice address
803 N SALK DR, CASA GRANDE, AZ 85122-5447
(602) 753-8272
Mailing address
4904 S POWER RD STE 103-203, MESA, AZ 85212-3633
(602) 753-8272
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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