Organization
NORTHERN ARIZONA HEART CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA LANGE (NPI)
(928) 532-1970
Entity
Organization
Contact information
Practice address
5171 CUB LAKE RD, SUITE C350, SHOW LOW, AZ 85901-7888
(928) 532-1970
(928) 532-1969
Mailing address
PO BOX 1360, SHOW LOW, AZ 85902-1360
(928) 532-1970
(928) 532-1969
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
01/27/2006
Last updated
03/05/2008
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