Organization
SUMMIT CARDIOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN D SHERMA MD (OWNER)
(928) 367-9958
Entity
Organization
Contact information
Practice address
316 W WHITE MOUNTAIN BLVD, STE B, LAKESIDE, AZ 85929-7015
(928) 367-9958
(928) 367-9960
Mailing address
PO BOX 3799, PINETOP, AZ 85935-3799
(928) 367-9958
(928) 367-9960
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305386
—
AZ
Enumeration date
04/17/2007
Last updated
10/31/2012
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