Organization · Type 2 NPI
Comprehensive Interventional Care Centers, PLLC
Primary Care Clinic/Center · Mesa, AZ
NPI number
1548856164
Active
Practice location
130 S 63rd St Ste 101
Mesa, AZ 85206-1620
Fax (480) 985-8641
Mailing address
4001 E Baseline Rd Ste 107
Gilbert, AZ 85234-2744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | None listed |
| Podiatrist | 213E00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1548856164
Comprehensive Interventional Care Centers, PLLC's National Provider Identifier is 1548856164, issued on Dec 17, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Mesa, AZ. The record was last updated on Dec 17, 2020.