Healthcare Provider Details

I. General information

NPI: 1982823779
Provider Name (Legal Business Name): MORRISON VEIN INSTITUTE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 07/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8575 E PRINCESS DR SUITE 223
SCOTTSDALE AZ
85255-5483
US

IV. Provider business mailing address

8575 E PRINCESS DR SUITE 223
SCOTTSDALE AZ
85255-5483
US

V. Phone/Fax

Practice location:
  • Phone: 480-860-6455
  • Fax: 480-860-6679
Mailing address:
  • Phone: 480-860-6455
  • Fax: 480-860-6679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State

VIII. Authorized Official

Name: DONALD NICHOLAS MORRISON
Title or Position: CO OWNER
Credential: MD
Phone: 480-860-6455