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Mesa Cardiovascular Research Center

Clinic/Center, Ambulatory Surgical in Mesa, AZ. Organization (NPI-2).

NPI number1043750797
StatusActive
Last updated in NPPESMar 27, 2017

Details

NPI
1043750797
Entity type
Organization (NPI-2)
Legal business name
Mesa Cardiovascular Research Center
Organization subpart
No
Enumeration date
Feb 28, 2017
Last updated
Mar 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory SurgicalOSCAZYes

Practice location

4555 E Inverness Ave
Bldg 1
Mesa, AZ 85206-4630

Phone 480-565-1022 · Fax 480-393-7944

Mailing address

4555 E Inverness Ave
Bldg 1
Mesa, AZ 85206-4630

Phone 480-565-1022 · Fax 480-393-7944

Authorized official

Patricia Ann Haugland
Member/Owner
4805701317

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