# WESTERN ARIZONA CARDIOVASCULAR SURGERY PLLC

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

## Provider details

- **NPI number:** 1427283092
- **Authorized official:** DR. CHRISTOPHER C KWON M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (928) 854-0090

## Contact information

- **Practice address:** 1851 MESQUITE AVE, SUITE 202, LAKE HAVASU CITY, AZ 86403-5677
- **Practice address phone:** (928) 854-0090
- **Practice address fax:** (928) 453-0671
- **Mailing address:** 8144 E CACTUS RD, SUITE 800, SCOTTSDALE, AZ 85260-5266
- **Mailing address phone:** (480) 596-8525
- **Mailing address fax:** (490) 596-8522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 32875 | AZ | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 32875 | AZ | Yes |

## Other

- **Enumeration date:** 05/26/2009
- **Last updated:** 08/31/2011