Organization
MARYVALE CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE ANN GONZALES CMA (OFFICE MANAGER)
(623) 848-3295
Entity
Organization
Contact information
Practice address
8410 W THOMAS RD, BLDG 2, SUITE 116, PHOENIX, AZ 85037-3329
(623) 848-3295
(623) 848-3019
Mailing address
8410 W THOMAS RD, BLDG 2, SUITE 116, PHOENIX, AZ 85037-3329
(623) 848-3295
(623) 848-3019
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409313
—
AZ
01
—
Z128037
PTAN
AZ
Enumeration date
06/24/2006
Last updated
04/20/2010
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