Organization
ASSOCIATED THORACIC & CARDIOVASCULAR SURGEONS, LTD
Active
Other names
ENTEBELLA MEDICAL, CARDIOTHORACIC & VASCULAR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN PANG M.D., (PRESIDENT)
(480) 661-4761
Entity
Organization
Contact information
Practice address
26224 N TATUM BLVD STE 11, PHOENIX, AZ 85050-7500
(480) 661-4761
(480) 661-3990
Mailing address
PO BOX 14390, SCOTTSDALE, AZ 85267-4390
(480) 661-4761
(480) 661-3990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24944
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780688135
NPPES
AZ
Enumeration date
05/01/2007
Last updated
03/05/2024
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