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SOUTHWEST VASCULAR INSTITUTE LTD NPI 1538289152


NPI Information

NPI: 1538289152
Provider Name: SOUTHWEST VASCULAR INSTITUTE LTD
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
6677 W THUNDERBIRD RD
G 116
GLENDALE, AZ
ZIP 85306
Phone: (623) 435-1954
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SOUTHWEST VASCULAR INSTITUTE LTD is a vascular surgery surgery in Glendale, 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. SOUTHWEST VASCULAR INSTITUTE LTD NPI is 1538289152. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6677 W THUNDERBIRD RD
G 116
GLENDALE, AZ
ZIP 85306-709
Phone: (623) 435-1954
Fax: (623) 435-1955

The provider's authorized official is Cecil C Vaughn .
The authorized official title is President Owner and has the following contact phone number (623) 435-1954.

The enumeration date for this NPI number is 3/29/2007 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular Surgery22494ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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