# SOUTHWEST EP CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023332251
- **Authorized official:** DRORY S TENDLER MD (PRESIDENT)
- **Authorized official phone:** (602) 309-1515

## Contact information

- **Practice address:** 1637 E MONUMENT PLAZA CIR, SUITE 1, CASA GRANDE, AZ 85222-5638
- **Practice address phone:** (480) 776-6844
- **Practice address fax:** (480) 246-8940
- **Mailing address:** 20930 N TATUM BLVD, SUITE 110 BOX 164, PHOENIX, AZ 85050-4270
- **Mailing address phone:** (480) 776-6844
- **Mailing address fax:** (480) 246-8940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 32962 | AZ | Yes |

## Other

- **Enumeration date:** 03/17/2010
- **Last updated:** 03/17/2010