Modern Vascular of Glendale, LLC
Modern Vascular of Glendale, LLC is a Family Medicine Physician in Glendale, Arizona. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 5
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11851 N 51st Ave Bldg GGlendale, AZ 85304
Phone: (818) 949-2634
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X |
| Interventional Cardiology Physician | Taxonomy 207RI0011X |
| Podiatrist | Taxonomy 213E00000X |
Record details
| NPI number | 1063947638 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yury Gampel — Manager · (818) 880-8605 |
| NPI enumerated | April 20, 2017 |
| Last updated in NPPES | July 11, 2018 |
| Mailing address | 26500 Agoura Rd Ste 102-587, Calabasas, CA 91302-1952 |
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Mr. Arthur N Miller, MD
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Dr. Suzanne D Myers, DO
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Dr. Rachel Ayn Nageotte, DO
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Dr. Gary Nathan Nakken, DO
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