NPI 1033213558

Vascular Surgery Specialist PC

Organisation Specialist Phoenix, AZ

Practice location

Address: 2601 N 3rd St Suite 203, Phoenix, AZ 85004-1104
Phone: (602) 277-7430
Fax: (602) 279-5333

Authorised official

Name: Douglas John Carlon
Title: President
Phone: (602) 277-7430

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Arizona →

Registry record

NPI: 1033213558
Entity type: Organization
NPI issued: 13 Sep 2006
Record last updated: 1 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.