NPI 1396452611

Restore Vascular PLLC

Organisation Phlebology Physician Queen Creek, AZ

Practice location

Address: 18510 E San Tan Blvd STE 115, Queen Creek, AZ 85142-2206
Phone: (480) 442-3990

Authorised official

Name: Nathan Ian Weller
Title: Owner
Phone: (480) 874-6808

Registered specialties (5)

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X

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Chiropractor

Chiropractic Providers Taxonomy 111N00000X

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Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X

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Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1396452611
Entity type: Organization
NPI issued: 7 Nov 2022
Record last updated: 29 Aug 2023

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.