Healthcare Provider Details

I. General information

NPI: 1760426001
Provider Name (Legal Business Name): WESTERN VASCULAR INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7165 E UNIVERSITY DR STE 183
MESA AZ
85207-6415
US

IV. Provider business mailing address

7165 E UNIVERSITY DR STE 187
MESA AZ
85207-6415
US

V. Phone/Fax

Practice location:
  • Phone: 480-668-5000
  • Fax: 480-668-5065
Mailing address:
  • Phone: 480-668-5000
  • Fax: 480-668-5065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HENRY TARLIAN
Title or Position: PARTNER
Credential: MD
Phone: 480-668-5000