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Organization

ONSITE CARDIOVASCULAR IMAG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS FREDERIC HOOSE RDCS RVS (OWNER)
(480) 987-8762
Entity
Organization

Contact information

Practice address
22830 S 197TH WAY, QUEEN CREEK, AZ 85242-8309
(480) 987-8762
(480) 987-8765
Mailing address
22830 S 197TH WAY, QUEEN CREEK, AZ 85242-8309
(480) 987-8762
(480) 987-8765

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
11/27/2007
Last updated
11/27/2007
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