Organization
YUMA CARDIAC SURGERY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLANCA G GARCIA (OFFICE MANAGER)
(928) 341-1981
Entity
Organization
Contact information
Practice address
1501 W 24TH ST, SUITE 201, YUMA, AZ 85364-6370
(928) 341-1981
(928) 341-1984
Mailing address
1501 W 24TH ST, SUITE 201, YUMA, AZ 85364-6370
(928) 341-1981
(928) 341-1984
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
17167
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
34827
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191635
—
AZ
05
—
995417
—
AZ
Enumeration date
02/01/2007
Last updated
08/22/2020
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