Organization · Type 2 NPI

Prescott Interventional Radiology LLC

Vascular & Interventional Radiology Physician · Prescott, AZ

NPI number 1457314825 Active

Practice location

980 Willow Creek Rd
Prescott, AZ 86301-1611

Fax (928) 443-0019

Mailing address

PO Box 27340
Phoenix, AZ 85061-7340

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XNone listed
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.

4 other providers at this address

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About NPI 1457314825

Prescott Interventional Radiology LLC's National Provider Identifier is 1457314825, issued on Apr 7, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Prescott, AZ. The record was last updated on Sep 11, 2025.