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Organization

VERDE VALLEY HEART CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE WILLIAM PEEK M.D. (BUSINESS OWNER)
(928) 634-1331
Entity
Organization

Contact information

Practice address
294 W HIGHWAY 89A, 107, COTTONWOOD, AZ 86326-3754
(928) 634-1331
(928) 634-3130
Mailing address
PO BOX 2769, COTTONWOOD, AZ 86326-2510
(928) 634-1331
(928) 634-3130

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14218
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270497
AZ
Enumeration date
09/16/2006
Last updated
08/22/2020
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