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Organization
WESTERN ARIZONA CARDIOVASCULAR SURGERY PLLC
Active
Organization
WESTERN ARIZONA CARDIOVASCULAR SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER C KWON M.D. (PHYSICIAN/OWNER)
(928) 854-0090
Entity
Organization
Contact information
Practice address
1851 MESQUITE AVE, SUITE 202, LAKE HAVASU CITY, AZ 86403-5677
(928) 854-0090
(928) 453-0671
Mailing address
8144 E CACTUS RD, SUITE 800, SCOTTSDALE, AZ 85260-5266
(480) 596-8525
(490) 596-8522
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
32875
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
32875
AZ
Other
Enumeration date
05/26/2009
Last updated
08/31/2011
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