# SOUTHWEST EP CLINIC

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

## Provider details

- **NPI number:** 1326374190
- **Authorized official:** DRORY S TENDLER MD (PRESIDENT)
- **Authorized official phone:** (602) 309-1515

## Contact information

- **Practice address:** 2730 S VAL VISTA DR, BLDG 9, SUITE 152, GILBERT, AZ 85295-1675
- **Practice address phone:** (602) 309-1515
- **Mailing address:** 20930 N TATUM BLVD, SUITE 110, BOX 164, PHOENIX, AZ 85050-4270
- **Mailing address phone:** (602) 309-1515

## Taxonomy

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

## Other

- **Enumeration date:** 10/28/2009
- **Last updated:** 03/11/2010
