| Palm Vein Center LLC | |
|
16944 W Bell Rd #603 Surprise AZ 85374-8950 | |
| (623) 201-4777 | |
| (623) 201-4770 |
| Full Name | Palm Vein Center LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 16944 W Bell Rd, Surprise, Arizona |
| Authorized Official Name and Position | Jimmy H Dragon (CEO) |
| Authorized Official Contact | 6232014777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Vein Center LLC 16944 W Bell Rd Suite 603 Surprise AZ 85374-8950 Ph: (623) 201-4777 | Palm Vein Center LLC 16944 W Bell Rd #603 Surprise AZ 85374-8950 Ph: (623) 201-4777 |
| NPI Number | 1437401106 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437401106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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