MEDICARE: VASCULAR AND INTERVENTIONAL PARTNERS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	56081	OTHER	AZ	MEDICAL LICENSE

General Provider Information

NPI Number	:	1457021438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VASCULAR AND INTERVENTIONAL PARTNERS PLLC

Provider Business Mailing Address
First Line	:	22455 N MILLER RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4956
Country	:	US
Telephone Number	:	267-334-9773
Fax Number	:

Provider Business Practice Location Address
First Line	:	22455 N MILLER RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4956
Country	:	US
Telephone Number	:	267-334-9773
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT PHYSICIAN
Name	:	DR. CHRISTOPHER GOETTL
Credential	:	MD
Telephone Number	:	267-334-9773

Provider Enumeration Date	:	09/20/2021
Last Update Date	:	03/11/2026

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