Organization
CARDIOLOGY CARE OF ARIZONA PC
Active
Organization
CARDIOLOGY CARE OF ARIZONA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILCOXSON MD (PRESIDENT)
(480) 985-1093
Entity
Organization
Contact information
Practice address
6750 E BAYWOOD AVE, SUITE 503, MESA, AZ 85206-1749
(480) 985-1093
Mailing address
6750 E BAYWOOD AVE, SUITE 503, MESA, AZ 85206-1749
(480) 985-1093
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407050834
RAIL ROAD MEDICARE
AZ
01
—
DG7796
RAIL ROAD MEDICARE
—
Enumeration date
06/11/2007
Last updated
03/22/2011
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