Organization
ADVANCED CARDIAC SPECIALISTS, CHARTERED
Active
Parent organization
ADVANCED CARDIAC SPECIALISTS, CHARTERED
Other names
Advanced Cardiac Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED CARDIAC SPECIALISTS, CHARTERED
Authorized official
MR. WILLIAM FAZIO (CONTROLLER)
(480) 545-1808
Entity
Organization
Contact information
Practice address
4838 E BASELINE RD, BLDG. 2 STE. 110, MESA, AZ 85206-4671
(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
207R00000X
Internal Medicine Physician
17159
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
16175
AZ
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
30602
AZ
2086S0129X
Vascular Surgery Physician
30602
AZ
208800000X
Urology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
08/03/2005
Last updated
09/15/2010
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