Organization · Type 2 NPI

Diamond State Vascular Interventional LLC

Vascular & Interventional Radiology Physician · Wilmington, DE

NPI number 1104642214 Active

Practice location

1941 Limestone Rd Ste 15
Wilmington, DE 19808-5423

Mailing address

9450 SW Gemini Dr Ste 59742
Beaverton, OR 97008-7105

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204XNone 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.

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About NPI 1104642214

Diamond State Vascular Interventional LLC's National Provider Identifier is 1104642214, issued on Nov 25, 2024. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Wilmington, DE. The record was last updated on Nov 25, 2024.