GLENDALE INTERVENTIONAL TREATMENT CENTER LLC is an ambulatory surgical clinic center in Glendale, AZ. GLENDALE INTERVENTIONAL TREATMENT CENTER LLC NPI is 1245862275. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
6320 W UNION HILLS DR STE 1400B
GLENDALE, AZ
ZIP 85308-061
Phone: (623) 688-5400
The provider's authorized official is Shawn Vigneau .
The authorized official title is Sole Member and has the following contact phone number (480) 930-4018.
The CLIA number assigned to this NPI record is 03D2085171 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/7/2020 and was last updated on 2/7/2020.