Organization · NPI-2

Advanced Cardiac Specialists, Chartered

Internal Medicine, Cardiovascular Disease · Mesa, AZ

NPI number1245402346
StatusActive
Last updated in NPPESDec 1, 2013

Details

NPI
1245402346
Entity type
Organization (NPI-2)
Legal business name
Advanced Cardiac Specialists, Chartered
Organization subpart
No
Enumeration date
Mar 28, 2008
Last updated
Dec 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease–AZYes
207R00000X Internal Medicine–AZ
207UN0901X Nuclear Medicine, Nuclear Cardiology–AZ
208600000X Surgery–AZ
2086S0129X –AZ
208800000X Urology–AZ
363AM0700X Physician Assistant, Medical–AZ
363LA2200X Nurse Practitioner, Adult Health–AZ
207RI0011X Internal Medicine, Interventional Cardiology––
2085N0904X ––
2085B0100X Radiology, Body Imaging––

Other names

  • Advanced Cardiac Specialists (Other Name)

Practice location

4838 E Baseline Rd
Bldg 2, Suites 109-110
Mesa, AZ 85206-4671

Phone 480-892-2800 · Fax 480-892-3258

Mailing address

Po Box 63423
Phoenix, AZ 85082-3423

Phone 480-892-2800 · Fax 480-982-1400

Authorized official

William Fazio
Controller
4805451808

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