VASCULAR INSTITUTE OF ARIZONA PLLC NPI 1093380941

NPI Information

VASCULAR INSTITUTE OF ARIZONA PLLC is a vascular surgery surgery in Queen Creek, 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. VASCULAR INSTITUTE OF ARIZONA PLLC NPI is 1093380941. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21321 E OCOTILLO RD STE 125
QUEEN CREEK, AZ
ZIP 85142-995
Phone: (480) 936-7722
Fax: (480) 936-7723

The provider's authorized official is Praveen C Balraj .
The authorized official title is Member Manager and has the following contact phone number (480) 936-7722.

The enumeration date for this NPI number is 5/24/2021 and was last updated on 5/24/2021.

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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