SONORAN VEIN AND ENDOVASCULAR LLC NPI 1790049617

NPI Information

SONORAN VEIN AND ENDOVASCULAR LLC is a vascular surgery surgery in Peoria, AZ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SONORAN VEIN AND ENDOVASCULAR LLC NPI is 1790049617. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9200 W UNION HILLS DR
STE A-103
PEORIA, AZ
ZIP 85382-210
Phone: (602) 374-4101
Fax: (602) 441-0522

The provider's authorized official is David J Nye .
The authorized official title is Owner and has the following contact phone number (803) 637-7784.

The CLIA number assigned to this NPI record is 03D2049626 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/25/2012 and was last updated on 4/3/2023.

Taxonomy Codes

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Other Identifiers

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