COMPREHENSIVE INTERVENTIONAL CARE CENTERS PLLC NPI 1871223149

NPI Information

COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC is a foot and ankle surgery podiatrist in Yuma, AZ. COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC NPI is 1871223149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2145 W 28TH ST STE B
YUMA, AZ
ZIP 85364-219
Phone: (928) 328-8338
Fax: (928) 328-8339

The provider's authorized official is Nichole Fowell .
The authorized official title is Credentialing Manager and has the following contact phone number (520) 322-6274.

The CLIA number assigned to this NPI record is 03D2126026 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2022 and was last updated on 6/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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