| Restore Vascular PLLC | |
|
7555 E Osborn Rd Ste 104 Scottsdale AZ 85251-6468 | |
| (480) 442-3990 | |
| Not Available |
| Full Name | Restore Vascular PLLC |
|---|---|
| Speciality | Clinic/center |
| Location | 7555 E Osborn Rd Ste 104, Scottsdale, Arizona |
| Authorized Official Name and Position | Nathan Ian Weller (OWNER) |
| Authorized Official Contact | 4808746808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Vascular PLLC 7555 E Osborn Rd Ste 104 Scottsdale AZ 85251-6468 Ph: (480) 442-3990 | Restore Vascular PLLC 7555 E Osborn Rd Ste 104 Scottsdale AZ 85251-6468 Ph: (480) 442-3990 |
| NPI Number | 1518774553 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518774553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (NU) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (NU) | Secondary |
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