Healthcare Provider Details

I. General information

NPI: 1093667933
Provider Name (Legal Business Name): INTERVENTIONAL SERVICES GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E MCDOWELL RD
PHOENIX AZ
85006-2612
US

IV. Provider business mailing address

PO BOX 25130
SCOTTSDALE AZ
85255-0102
US

V. Phone/Fax

Practice location:
  • Phone: 480-435-9100
  • Fax: 480-702-0083
Mailing address:
  • Phone: 480-435-9100
  • Fax: 480-702-0083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER GOETTL
Title or Position: PRESIDENT
Credential: MD
Phone: 267-334-9773