Organization
ADVANCED CARDIAC SPECIALISTS, CHARTERED
Active
Other names
Advanced Cardiac Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FAZIO (CONTROLLER)
(480) 545-1808
Entity
Organization
Contact information
Practice address
980 WILLOW CREEK RD, SUITE 201, PRESCOTT, AZ 86301-1611
(928) 445-4142
(480) 982-1400
Mailing address
PO BOX 63423, PHOENIX, AZ 85082-3423
(480) 892-2800
(480) 288-1400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
AZ
207UN0901X
Nuclear Cardiology Physician
—
AZ
363LF0000X
Family Nurse Practitioner
—
AZ
Other
Enumeration date
03/28/2008
Last updated
05/14/2009
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