Provider Demographics
NPI:1558306167
Name:ARIZONA DOPPLER SPECIALISTS
Entity Type:Organization
Organization Name:ARIZONA DOPPLER SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/VASCULAR TECHNOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:FEIGENBUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:RVT
Authorized Official - Phone:602-740-3427
Mailing Address - Street 1:5319 N 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-3001
Mailing Address - Country:US
Mailing Address - Phone:602-740-3427
Mailing Address - Fax:
Practice Address - Street 1:5319 N 15TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-3001
Practice Address - Country:US
Practice Address - Phone:602-740-3427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZREGISTRY 46607246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular SpecialistGroup - Single Specialty