National Provider Identifier Database

EUGENE VITVITSKY MD
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

EUGENE VITVITSKY MD
2046 BURKE LANE
LAKE HAVASU CITY, AZ86406
Phone: 928-855-4411
Fax: 928-855-4418
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for EUGENE VITVITSKY MD

NPI Number 1265657969
Legal business name
LBN
EUGENE VITVITSKY MD
Authorized official EUGENE VITVITSKY - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/16/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 35142
  • AZ Other: AZ0440881 BLUE CROSS OF ARIZONA

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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