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Organization

ELITE VASCULAR, VEIN, AND SURGICAL SPECIALISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SKY MOORE DC (MANAGER/OWNER)
(602) 354-5659
Entity
Organization

Contact information

Practice address
10255 N 32ND ST, PHOENIX, AZ 85028-3851
(602) 354-5659
(602) 795-9948
Mailing address
2813 E CAMELBACK RD, SUITE 430, PHOENIX, AZ 85016-4325
(602) 354-5659
(602) 795-9949

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AZ

Other

Enumeration date
09/16/2014
Last updated
09/16/2014
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