Organization
GRAND CANYON PERFUSION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CHRISTENSON (OFFICE MANAGER)
(480) 659-6964
Entity
Organization
Contact information
Practice address
2753 E BROADWAY RD, #101-454, MESA, AZ 85204-1579
(480) 659-6964
(480) 659-6791
Mailing address
PO BOX 27588, TEMPE, AZ 85285-7588
(480) 777-0607
(480) 777-1345
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
08/12/2005
Last updated
08/22/2020
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