| NPI | 1306895453 |
|---|---|
| Doing Business As | CENTER FOR VENOUS DISEASE |
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL SMITH Medical Director 623-435-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-05-17 |