RESTORE VASCULAR PLLC NPI 1396452611

NPI Information

  • NPI: 1396452611
  • Provider Name: RESTORE VASCULAR PLLC
  • Classification: Phlebology - 202K00000X
  • Entity Type: Organization
  • Address: 18510 E SAN TAN BLVD STE 115
    QUEEN CREEK, AZ
    ZIP 85142
  • Phone: (480) 442-3990

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NPI Details

RESTORE VASCULAR PLLC is a phlebology in Queen Creek, AZ. The provider is phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. RESTORE VASCULAR PLLC NPI is 1396452611. The provider is registered as an organization entity type.

The provider's business location address is:

18510 E SAN TAN BLVD STE 115
QUEEN CREEK, AZ
ZIP 85142-206
Phone: (480) 442-3990

The provider's authorized official is Nathan Ian Weller .
The authorized official title is Owner and has the following contact phone number (480) 874-6808.

The enumeration date for this NPI number is 11/7/2022 and was last updated on 8/29/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2208100000XPhysical Medicine & RehabilitationNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4111N00000XChiropractorNo
5202K00000XPhlebologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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