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Contact Information

COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
2301 N 4TH ST
FLAGSTAFF, AZ86004
 Phone: 928-719-7400
 Fax: 480-371-1121
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for COMPREHENSIVE INTERVENTIONAL CARE CENTERS PLLC · (Female)

NPI Number 1235616152
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2018
Last updated 12/22/2020 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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