Organization
SOUTHWEST CARDIOVASCULAR INTERVENTIONAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M.T. JOST (PRINCIPAL)
(480) 945-4343
Entity
Organization
Contact information
Practice address
7529 E BROADWAY RD STE 104, MESA, AZ 85208-2007
(480) 945-4343
(480) 945-4350
Mailing address
7529 E BASELINE, SUITE 101, MESA, AZ 85208
(480) 945-4343
(480) 945-4350
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
03/17/2025
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