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Organization

RED MOUNTAIN CARDIOTHORACIC SURGEONS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL C MAXWELL MD (OWNER/PHYSICIAN)
(480) 782-6900
Entity
Organization

Contact information

Practice address
333 N DOBSON RD, STE 15, CHANDLER, AZ 85224-4412
(480) 782-6900
(480) 782-6905
Mailing address
333 N DOBSON RD, STE 15, CHANDLER, AZ 85224-4412
(480) 782-6900
(480) 782-6905

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
329451
AZ
Enumeration date
12/13/2007
Last updated
02/06/2012
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