Healthcare Provider Details

I. General information

NPI: 1497165955
Provider Name (Legal Business Name): VIVERE ARIZONA REPRODUCTIVE INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2014
Last Update Date: 05/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 E SKYLINE DR STE 175
TUCSON AZ
85718-9103
US

IV. Provider business mailing address

720 COOL SPRINGS BLVD STE 520
FRANKLIN TN
37067-7259
US

V. Phone/Fax

Practice location:
  • Phone: 520-222-8400
  • Fax: 520-219-2351
Mailing address:
  • Phone: 615-550-4900
  • Fax: 615-550-4901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT J CABLE
Title or Position: EXECUTIVE VICE PRESEIDENT
Credential:
Phone: 615-550-7366