Organization
ADVANCED CARDIAC SPECIALISTS
Active
Other names
Advanced Cardiac Specialists Outpatient Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FAZIO MBA (ADMINISTRATOR)
(480) 545-1808
Entity
Organization
Contact information
Practice address
4838 E BASELINE RD, BLDG 2 STE. 109, MESA, AZ 85206-4671
(480) 892-2800
(480) 892-3258
Mailing address
PO BOX 63423, PHOENIX, AZ 85082-3423
(480) 892-2800
(480) 982-1400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OTC4500
AZ
Other
Enumeration date
05/13/2008
Last updated
05/14/2009
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