Organization
RED HEART SURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHEY FREDRICKSON CST, CSFA (OWNER)
(520) 840-7509
Entity
Organization
Contact information
Practice address
43643 W ARIZONA AVE, MARICOPA, AZ 85138-5642
(520) 840-7509
Mailing address
43643 W ARIZONA AVE, MARICOPA, AZ 85138-5642
(520) 840-7509
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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