NPI | 1558954784 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD NEVILLE Owner 623-259-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2021-02-18 |
Last Update Date | 2022-12-05 |