Advanced Cardiac Specialists, Chartered
Internal Medicine, Cardiovascular Disease in Prescott, AZ. Organization (NPI-2).
NPI number1376715458
StatusActive
Last updated in NPPESMay 14, 2009
Details
- NPI
- 1376715458
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Cardiac Specialists, Chartered
- Organization subpart
- No
- Enumeration date
- Mar 28, 2008
- Last updated
- May 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | AZ | Yes |
| 207UN0901X | Nuclear Medicine, Nuclear Cardiology | – | AZ | |
| 363LF0000X | Nurse Practitioner, Family | – | AZ |
Other names
- Advanced Cardiac Specialists (Other Name)
Practice location
980 Willow Creek RdSuite 201
Prescott, AZ 86301-1611
Phone 928-445-4142 · Fax 480-982-1400
Mailing address
Po Box 63423Phoenix, AZ 85082-3423
Phone 480-892-2800 · Fax 480-288-1400
Authorized official
William Fazio
Controller
4805451808
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