Vascular Surgery Specialist Pc in Phoenix - Specialist

Vascular Surgery Specialist Pc - NPI 1033213558

Vascular Surgery Specialist Pc is a Specialist in Phoenix, Arizona. Vascular Surgery Specialist Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Vascular Surgery Specialist Pc is 1033213558. The last update date is 2007-10-01.

Vascular Surgery Specialist Pc's current location address is 2601 N 3rd St, Phoenix, Arizona. You can contact this provider via phone number 6022777430 and fax number 6022795333. The mailing address for Vascular Surgery Specialist Pc is 2601 N 3rd St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Vascular Surgery Specialist Pc
Address 2601 N 3rd St, Phoenix, Arizona
Phone Number 6022777430
Fax Number 6022795333
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Carlon John Douglas
Credentials MD
Telephone Number 6022777430

NPI Number Detail

NPI Number 1033213558
Provider Enumeration Date 2006-09-13
Last Updated Date 2007-10-01

Provider Mailing Address Detail

Address 2601 N 3rd St
City Phoenix
State Arizona (AZ)
Post Code 850041104
Phone Number 6022777430
Fax Number 6022795333

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Vascular Surgery Specialist Pc

What is the unique 10-digit identifier code issued to Vascular Surgery Specialist Pc by the Centers for Medicare & Medicaid Services?

The Vascular Surgery Specialist Pc has been assigned the NPI (National Provider Identifier) 1033213558 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Vascular Surgery Specialist Pc is physically located?

The Vascular Surgery Specialist Pc is situated at the following address: 2601 N 3Rd St, Phoenix, AZ 850041104.

What is Vascular Surgery Specialist Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Vascular Surgery Specialist Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1033213558 to Vascular Surgery Specialist Pc?

The Vascular Surgery Specialist Pc received its 1033213558 assignment from the Centers for Medicare & Medicaid Services on 2006-09-13.

As of what date was the information pertaining to Vascular Surgery Specialist Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Vascular Surgery Specialist Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-01.

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