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Organization
ARIZONA ADVANCED HEART & LUNG SPECIALISTS LLC
Active
Organization
ARIZONA ADVANCED HEART & LUNG SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAO KENITH FANG MD (PRESIDENT)
(602) 999-2084
Entity
Organization
Contact information
Practice address
3131 E CLARENDON AVE STE 101, PHOENIX, AZ 85016-7069
(602) 881-1976
Mailing address
3219 E CAMELBACK RD # 260, PHOENIX, AZ 85018-2307
(602) 881-1976
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
11/27/2024
Last updated
11/27/2024
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