EUGENE VITVITSKY MD; NPI #1265657969

Contact Information

EUGENE VITVITSKY MD

2046 BURKE LANE
LAKE HAVASU CITY, AZ 86406

Phone: 928-855-4411
Fax: 928-855-4418
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Vascular Surgery	2086S0129X	76	Physician/Peripheral Vascular Disease

Indicates primary specialty

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NPI Profile & details for EUGENE VITVITSKY MD

NPI Number 1265657969

LBN Legal business name EUGENE VITVITSKY MD

Authorized official EUGENE VITVITSKY - (CO-OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/16/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

AZ	License #	35142
AZ	Other	AZ0440881	BLUE CROSS OF ARIZONA

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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EUGENE VITVITSKY MD

Contact Information

Specialty

Vascular Surgery

NPI Profile & details for EUGENE VITVITSKY MD

Reviews for EUGENE VITVITSKY MD