ARIZONA INTERVENTIONAL MEDICAL GROUP PC
Radiology at Royal Palm Rd, Phoenix, AZ

License number
Arizona 42646
Category
Radiology
Type
Vascular & Interventional Radiology
Owner
Name: J THEODORE KING
Title: OWNER
Phone: (630) 725-2768
Address
Address 2
2338 W Royal Palm Rd SUITE J, Phoenix, AZ 85021
1901 Butterfield Rd, Downers Grove, IL 60515
National Provider ID: 1053615021
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ARIZONA INTERVENTIONAL MEDICAL GROUP, PC

Ste STE J, Phoenix, AZ 85021

Registration:
Jul 29, 2013
State ID:
-1863391-4
Expiration:
PERPETUAL
Directors:
Satish Vayuvegula Md (President/ceo), Suite 22 SUITE 220, Downers Grove, IL 60515 (Physical),Todd Greer Md (Secretary), Suite 22 SUITE 220, Downers Grove, IL 60515 (Physical),J Theodore King Md (Director), Siute 220, Downers Grove, IL 60515 (Physical),...
Agent:
Corporation Service Company,2338 W Royal Palm Rd STE J, Phoenix, AZ 85021 (Physical)
Business type:
PRACTICE MEDICINE

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