Organization
AHI CARDIOVASCULAR SURGEONS LTD
Active
Parent organization
ARIZONA HEART INSTITUTE LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA HEART INSTITUTE LTD
Authorized official
EDWARD B. DIETHRICH MD (MEDICAL DIRECTOR)
(602) 266-2200
Entity
Organization
Contact information
Practice address
2632 N 20TH ST, PHOENIX, AZ 85006-1339
(602) 266-2200
(602) 240-6177
Mailing address
PO BOX 52596, PHOENIX, AZ 85072-2596
(602) 266-2200
(602) 240-6177
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/25/2008
Last updated
06/21/2018
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