Organization Name: | ARIZONA VEIN AND VASCULAR CENTER LLC |
NPI Number: | 1083999361 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LIMOR PHILIPP WALL (OWNER) |
Mailing Address: | 15571 N Reems Rd Surprise |
State: | AZ US |
Postal Code: | 853749584 |
Phone Number: | 6232149235 |
Fax Number: | 6233211965 |
NPI Enumeration Date: | 10/18/2011 |
NPI Last Update Date: | 12/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |