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Organization

SUN CITY CARDIAC CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY GUIDRY (CEO)
(704) 815-7804
Entity
Organization

Contact information

Practice address
10415 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(623) 977-0398
(623) 977-6899
Mailing address
10720 SIKES PL, SUITE 300, CHARLOTTE, NC 28277-8141
(704) 815-7789
(888) 401-6931

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
243676
AZ
01
470000157
RR MEDICARE
AZ
Enumeration date
10/12/2006
Last updated
08/07/2009
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