Organization
SOUTHWEST HEART AND LUNG FLAGSTAFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P CASKEY M.D. (OWNER)
(602) 263-7600
Entity
Organization
Contact information
Practice address
1215 N BEAVER ST, 202, FLAGSTAFF, AZ 86001-3126
(928) 773-2200
(602) 212-0365
Mailing address
10930 N TATUM BLVD, 103, PHOENIX, AZ 85028-6069
(602) 263-7600
(602) 212-0365
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35512
AZ
Other
Enumeration date
12/07/2006
Last updated
08/22/2020
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