Provider Demographics
NPI:1982823779
Name:MORRISON VEIN INSTITUTE LTD
Entity Type:Organization
Organization Name:MORRISON VEIN INSTITUTE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-860-6455
Mailing Address - Street 1:8575 E PRINCESS DR
Mailing Address - Street 2:SUITE 223
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5483
Mailing Address - Country:US
Mailing Address - Phone:480-860-6455
Mailing Address - Fax:480-860-6679
Practice Address - Street 1:8575 E PRINCESS DR
Practice Address - Street 2:SUITE 223
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5483
Practice Address - Country:US
Practice Address - Phone:480-860-6455
Practice Address - Fax:480-860-6679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty