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Contact Information

PHOENIX VASCULAR ACCESS, LLC
455 N MESA DR STE 16
MESA, AZ85201-5936
 Phone: 480-468-3219
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Administrator

163WA2000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PHOENIX VASCULAR ACCESS, LLC

NPI # 1093415408
LBN Legal business name PHOENIX VASCULAR ACCESS, LLC
Authorized official JOSIE BRANDON JOHN HART - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2023
Last updated 03/06/2023 - 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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