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Contact Information

RESTORE VASCULAR PLLC
18510 E SAN TAN BLVD STE 115
QUEEN CREEK, AZ85142-2206
 Phone: 480-442-3990
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebology

202K00000X
 

Chiropractor

111N00000X 35 Chiropractic
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for RESTORE VASCULAR PLLC

NPI # 1396452611
LBN Legal business name RESTORE VASCULAR PLLC
Authorized official NATHAN WELLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2022
Last updated 08/29/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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