Avantgarde Cardiovascular Services PC
Internal Medicine, Interventional Cardiology in Youngtown, AZ. Organization (NPI-2).
NPI number1134835358
StatusActive
Last updated in NPPESJan 31, 2023
Details
- NPI
- 1134835358
- Entity type
- Organization (NPI-2)
- Legal business name
- Avantgarde Cardiovascular Services PC
- Organization subpart
- Yes
- Enumeration date
- Jan 31, 2023
- Certification date
- Jan 31, 2023
- Last updated
- Jan 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | – | – | Yes |
Practice location
11124 W California AveSuite G
Youngtown, AZ 85363-1246
Phone 623-583-2073
Mailing address
11124 W California AveSuite G
Youngtown, AZ 85363-1246
Authorized official
Peggy Jeter
Office Manager
6235832073
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