Organization
SOUTHWEST HEART PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE ANN SLUDER (BUSINESS OFFCE SUPERVISOR)
(520) 290-5353
Entity
Organization
Contact information
Practice address
6367 E TANQUE VERDE RD, SUITE 100, TUCSON, AZ 85715-3829
(520) 886-3432
(850) 886-0169
Mailing address
6567 E CARONDELET DR, SUITE 225, TUCSON, AZ 85710-6152
(520) 886-3432
(520) 886-0169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1147990
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64188
MEDICARE PTAN
AZ
Enumeration date
04/09/2009
Last updated
06/21/2018
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