Organization
CARDIAC CATH LAB OF PHOENIX, LP
Active
Other names
Cardiac Cath Lab of Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (SR. VICE PRESIDENT)
(610) 644-8900
Entity
Organization
Contact information
Practice address
1910 E THOMAS RD, SUITE 101, PHOENIX, AZ 85016-7766
(713) 812-7586
Mailing address
1910 E THOMAS RD, SUITE 101, PHOENIX, AZ 85016-7766
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
07/01/2021
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