FORTUNE VEIN CLINIC NPI 1114912698

NPI Information

FORTUNE VEIN CLINIC is a vascular surgery surgery in Scottsdale, 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. FORTUNE VEIN CLINIC NPI is 1114912698. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7125 E LINCOLN DR
SUITE B109
SCOTTSDALE, AZ
ZIP 85253-429
Phone: (480) 991-2100
Fax: (480) 991-2102

The provider's authorized official is Robert Lloyd Fortune .
The authorized official title is Managing Employee and has the following contact phone number (480) 991-2100.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 8/22/2020.

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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