Organization
FORTY THIRD MEDICAL ASSOCIATES, LLC
Active
Organization
FORTY THIRD MEDICAL ASSOCIATES, LLC
Active
Other names
Vantage Integrity Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW JOSEPH MCCUE RVT, BS (DIRECTOR OF OPERATIONS)
(719) 761-1985
Entity
Organization
Contact information
Practice address
7725 N 43RD AVE, # 111, PHOENIX, AZ 85051-5770
(623) 931-9201
(623) 934-5414
Mailing address
7725 N 43RD AVE, # 111, PHOENIX, AZ 85051-5770
(623) 931-9201
(623) 934-5414
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
98313
NE
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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