Advanced Cardiac Specialists, Chartered
Clinic/Center in Mesa, AZ. Organization (NPI-2).
NPI number1467453019
StatusActive
Last updated in NPPESMay 14, 2009
Details
- NPI
- 1467453019
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Cardiac Specialists, Chartered
- Organization subpart
- No
- Enumeration date
- Aug 4, 2005
- Last updated
- May 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | OTC3437 | AZ | Yes |
Other names
- Advanced Cardiac Specialists Outpatient Treatment Center (Other Name)
Practice location
515 N Mesa DrSte. 100
Mesa, AZ 85201-5914
Phone 480-461-4454 · Fax 480-982-1400
Mailing address
Po Box 63423Phoenix, AZ 85082-3423
Phone 480-892-2800 · Fax 480-982-1400
Authorized official
William Fazio
Controller
4805451808
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