Organization
VIVACE VEIN CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WOOD (PRESIDENT)
(801) 785-1701
Entity
Organization
Contact information
Practice address
1375 E 800 N, SUITE 205, OREM, UT 84097-4435
(801) 785-1701
(801) 404-5781
Mailing address
1375 E 800 N, SUITE 205, OREM, UT 84097-4435
(801) 785-1701
(801) 404-5781
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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