# INTEGRATIVE CARDIOVASCULAR CARE PLLC

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

## Provider details

- **NPI number:** 1508679127
- **Authorized official:** JAMES RALPH WILLIAM KNELLER MD (OWNER)
- **Authorized official phone:** (509) 496-4494

## Contact information

- **Practice address:** 660 S MAIN ST, FLORENCE, AZ 85132-0022
- **Practice address phone:** (509) 496-4494
- **Mailing address:** 1539 W LAUREL AVE, GILBERT, AZ 85233-4131
- **Mailing address phone:** (509) 496-4494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2025
- **Last updated:** 01/28/2025