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Organization
VALLEY SURGICAL CARDIO-THORACIC SPECIALISTS LLC
Active
Organization
VALLEY SURGICAL CARDIO-THORACIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA J MANGRAM MD (CEO)
(602) 996-4747
Entity
Organization
Contact information
Practice address
403 W COOL DR STE 103, TUCSON, AZ 85704-6551
(520) 296-9790
(602) 953-5466
Mailing address
4022 E GREENWAY RD STE 11-191, PHOENIX, AZ 85032-4797
(602) 996-4747
(602) 953-5466
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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