Organization
PHOENIX CARDIAC SURGERY
Active
Other names
YAVAPAI CARDIAC SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE R TIBI MD (OWNER)
(602) 253-9168
Entity
Organization
Contact information
Practice address
811 AINSWORTH DR, SUITE 109, PRESCOTT, AZ 86301-1687
(928) 771-5595
Mailing address
3131 E CLARENDON AVE, SUITE 102, PHOENIX, AZ 85016-7069
(602) 253-9168
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
938632
—
AZ
Enumeration date
08/10/2007
Last updated
01/07/2015
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