Organization · Type 2 NPI

Modern Vascular of Sun City, LLC

Vascular & Interventional Radiology Physician · Surprise, AZ

NPI number 1083179378 Active

Practice location

14780 W Mountain View Blvd Ste 120
Surprise, AZ 85374-7280

Fax (602) 842-7106

Mailing address

26500 Agoura Rd Ste 102-587
Calabasas, CA 91302-1952

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204XNone listed
Vascular-Interventional Technology Radiologic Technologist 2471V0106XNone listed

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

4 other providers at this address

About NPI 1083179378

Modern Vascular of Sun City, LLC's National Provider Identifier is 1083179378, issued on Jan 31, 2019. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Surprise, AZ. The record was last updated on Jan 31, 2019.