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Eugene Vitvitsky Md
Vascular Surgery Physician in Lake Havasu City, Arizona
NPI 1265657969

Eugene Vitvitsky Md is a Vascular Surgery Physician based in Lake Havasu City, AZ and is specialized in Vascular Surgery. Eugene Vitvitsky Md practices in Lake Havasu City, AZ. The NPI Number for Eugene Vitvitsky Md is 1265657969 and holds a License No. 35142 (Arizona).

The current practice location address for Eugene Vitvitsky Md is 2046 Burke Lane, Lake Havasu City, AZ and can be reached out via phone at 928-855-4411 and via fax at 928-855-4418.

Location: 2046 Burke Lane, Lake Havasu City, AZ, 86403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265657969
Provider Name
Eugene Vitvitsky Md
Credential
Provider Entity Type
Organization
Address
2046 Burke Lane, Lake Havasu City, AZ, 86403
Phone Number
928-855-4411
Fax Number
928-855-4418
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0440881 01 AZ BLUE CROSS OF ARIZONA
institution
Provider Business Practice Location Address Details
Address
2046 Burke Lane
City
Lake Havasu City
State
Arizona
Zip
86406
Phone Number
928-855-4411
Fax Number
928-855-4418
person
Provider Business Mailing Address Details
Address
2046 Burke Lane
City
Lake Havasu City
State
Arizona
Zip
86406
Phone Number
928-855-4411
Fax Number
928-855-4418
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
35142 (Arizona)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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