Organization
SONORAN BIOMEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE HOWARD CCP (PERFUSIONIST)
(480) 272-9939
Entity
Organization
Contact information
Practice address
2753 E BROADWAY RD, 101-195, MESA, AZ 85204-1579
(480) 272-9939
Mailing address
PO BOX 27588, TEMPE, AZ 85285-7588
(480) 777-0607
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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