# CARDIAC CARE CENTER LLC

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

## Provider details

- **NPI number:** 1265622609
- **Authorized official:** DWIGHT CARL LUNDELL MD (GENERAL PARTNER)
- **Authorized official phone:** (602) 288-8699

## Contact information

- **Practice address:** 770 NORTH MONTEREY, SUITE F, GILBERT, AZ 85233-3821
- **Practice address phone:** (602) 288-8699
- **Practice address fax:** (801) 681-3453
- **Mailing address:** 770 NORTH MONTEREY, SUITE F, GILBERT, AZ 85233-3821
- **Mailing address phone:** (602) 288-8699
- **Mailing address fax:** (801) 681-3453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 6960 | AZ | Yes |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 08/01/2007