Organization
ADVANCED CARDIAC SPECIALISTS , CHARTERED
Active
Organization
ADVANCED CARDIAC SPECIALISTS , CHARTERED
Active
Other names
Advanced Cardiac Specialists Outpatient Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FAZIO (CONTROLLER)
(480) 545-1808
Entity
Organization
Contact information
Practice address
2050 W SOUTHERN AVE, APACHE JUNCTION, AZ 85220-7305
(480) 892-2800
(480) 982-1400
Mailing address
PO BOX 63423, PHOENIX, AZ 85082-3423
(480) 892-2800
(480) 982-1400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OTC3866
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OTC3866
—
AZ
Enumeration date
07/06/2006
Last updated
05/14/2009
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