Carondelet Specialist Group, INC
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Tucson, AZ. Organization (NPI-2).
NPI number1891978516
StatusActive
Last updated in NPPESJun 27, 2013
Details
- NPI
- 1891978516
- Entity type
- Organization (NPI-2)
- Legal business name
- Carondelet Specialist Group, INC
- Organization subpart
- No
- Enumeration date
- Dec 17, 2007
- Last updated
- Jun 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 29552 | AZ | Yes |
| 208600000X | Surgery | 29552 | AZ |
Practice location
2202 N. Forbes BlvdTucson, AZ 85745-1412
Phone 520-872-7265 · Fax 520-872-7929
Mailing address
2202 N. Forbes BlvdTucson, AZ 85745-1412
Phone 520-872-7265 · Fax 520-872-7929
Authorized official
Christen A Castellano
Executive Vice President/Chief Stra
5208727638
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