Organization
ARIZONA HEART INSTITUTE LAKE HAVASU
Active
Parent organization
ARIZONA HEART INSTITUTE LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA HEART INSTITUTE LTD
Authorized official
KEN WALSH (CFO)
(602) 266-2200
Entity
Organization
Contact information
Practice address
1845 MCCULLOCH BLVD N, SUITE A6, LAKE HAVASU CITY, AZ 86403-6759
(520) 505-4442
(602) 240-6177
Mailing address
PO BOX 61773, PHOENIX, AZ 85082-1773
(602) 682-6727
(602) 240-6177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
05/30/2007
Last updated
04/20/2008
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