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Organization
NORTHWEST CARDIOVASCULAR AND THORACIC SURGEONS PLLC
Active
Organization
NORTHWEST CARDIOVASCULAR AND THORACIC SURGEONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE J VAN DE WATER (OFFICE MANAGER)
(623) 875-6001
Entity
Organization
Contact information
Practice address
13188 N 103RD DR STE 200, SUN CITY, AZ 85351-3066
(623) 875-6001
(623) 875-8761
Mailing address
13188 N 103RD DR STE 200, SUN CITY, AZ 85351-3066
(623) 875-6001
(623) 875-8761
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
08/08/2006
Last updated
12/06/2007
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