Organization
ARIZONA HEART PERFUSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY F MANDILE CCP (PRESIDENT)
(480) 777-0607
Entity
Organization
Contact information
Practice address
5801 S MCCLINTOCK DR, 110, TEMPE, AZ 85283-6002
(480) 777-0607
(480) 777-1345
Mailing address
PO BOX 27341, TEMPE, AZ 85285-7341
(480) 777-0607
(480) 777-1345
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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