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Organization

ARIZONA CARDIOVASCULAR PERFUSION SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL A MOORE (MANGER)
(623) 512-4155
Entity
Organization

Contact information

Practice address
500 W THOMAS RD STE 460, PHOENIX, AZ 85013-4219
(623) 512-4155
(623) 512-4152
Mailing address
500 W THOMAS RD STE 460, PHOENIX, AZ 85013-4219
(623) 512-4155
(623) 512-4152

Taxonomy

Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
AZ

Other

Enumeration date
02/06/2013
Last updated
02/06/2013
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