Organization
CARDIOVASCULAR CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK KRESOCK MD (CEO)
(928) 669-8161
Entity
Organization
Contact information
Practice address
1413 W 16TH ST, PARKER, AZ 85344-6310
(928) 669-8161
(928) 669-8171
Mailing address
1413 W 16TH ST, PARKER, AZ 85344-6310
(928) 669-8161
(928) 669-8171
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26534
AZ
Other
Enumeration date
09/24/2009
Last updated
07/08/2015
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