Elk Ridge Surgical Specialists Pllc in Lakeside - Vascular Surgery

Elk Ridge Surgical Specialists Pllc - NPI 1588833594

Elk Ridge Surgical Specialists Pllc is a Vascular Surgery in Lakeside, Arizona. Elk Ridge Surgical Specialists Pllc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Elk Ridge Surgical Specialists Pllc is 1588833594. The last update date is 2014-03-26.

Elk Ridge Surgical Specialists Pllc's current location address is 5448 White Mountain Blvd, Lakeside, Arizona. You can contact this provider via phone number 9285378285 and fax number 9285378291. The mailing address for Elk Ridge Surgical Specialists Pllc is 5448 White Mountain Blvd, Lakeside, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Elk Ridge Surgical Specialists Pllc
Address 5448 White Mountain Blvd, Lakeside, Arizona
Phone Number 9285378285
Fax Number 9285378291
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wehling Vincent Edwin
Credentials D.O.
Telephone Number 9285378285

NPI Number Detail

NPI Number 1588833594
Provider Enumeration Date 2008-02-23
Last Updated Date 2014-03-26

Provider Mailing Address Detail

Address 5448 White Mountain Blvd
City Lakeside
State Arizona (AZ)
Post Code 859295739
Phone Number 9285378285
Fax Number 9285378291

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 4778
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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FAQs about Elk Ridge Surgical Specialists Pllc

What is the unique 10-digit identifier code assigned to Elk Ridge Surgical Specialists Pllc by the Centers for Medicare & Medicaid Services?

The Elk Ridge Surgical Specialists Pllc has been issued the NPI (National Provider Identifier) 1588833594 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Elk Ridge Surgical Specialists Pllc?

The Elk Ridge Surgical Specialists Pllc is situated at 5448 White Mountain Blvd, in the city of Lakeside, state of AZ, with the zip code 859295739.

What is the Elk Ridge Surgical Specialists Pllc's area of specialization and corresponding taxonomy classification?

The Elk Ridge Surgical Specialists Pllc's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.

On what date did the Elk Ridge Surgical Specialists Pllc receive the assignment of its 1588833594 from the Centers for Medicare & Medicaid Services?

The Elk Ridge Surgical Specialists Pllc was issued its 1588833594 by the Centers for Medicare & Medicaid Services on 2008-02-23.

As of what date was the information pertaining to Elk Ridge Surgical Specialists Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Elk Ridge Surgical Specialists Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-03-26.

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