Organization · NPI-2

Advanced Cardiac Specialists

Clinic/Center · Mesa, AZ

NPI number1922275502
StatusActive
Last updated in NPPESMay 14, 2009

Details

NPI
1922275502
Entity type
Organization (NPI-2)
Legal business name
Advanced Cardiac Specialists
Organization subpart
No
Enumeration date
May 13, 2008
Last updated
May 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterOTC4500AZYes

Other names

  • Advanced Cardiac Specialists Outpatient Treatment Center (Other Name)

Practice location

4838 E Baseline Rd
Bldg 2 Ste. 109
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
Administrator
4805451808

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