Provider Demographics
NPI:1790515450
Name:VASCULAR AND INTERVENTIONAL PARTNERS LAS VEGAS GOETTL PLLC
Entity type:Organization
Organization Name:VASCULAR AND INTERVENTIONAL PARTNERS LAS VEGAS GOETTL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:GOETTL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-334-9773
Mailing Address - Street 1:PO BOX 26630
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-0127
Mailing Address - Country:US
Mailing Address - Phone:725-291-3300
Mailing Address - Fax:725-291-4848
Practice Address - Street 1:2980 W HORIZON RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4660
Practice Address - Country:US
Practice Address - Phone:725-291-3300
Practice Address - Fax:725-291-4848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty