San Tan Cardiovascular Center, Llc
San Tan Cardiovascular Center, Llc is a health care provider in Mesa, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 6740 S Kings Ranch Rd, Suite 103, Gold Canyon, AZ 85118-2925, US |
|Practice Location Phone||480-543-1525|
|Practice Location Fax|
|Legal Business Name||SAN TAN CARDIOVASCULAR CENTER, LLC|
|Enumeration Date ? ||Mar 23, 2010|
|Last Update Date ? ||May 7, 2010|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of San Tan Cardiovascular Center, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Internal Medicine||Allopathic & Osteopathic Physicians|| ||49056||Arizona|
|Internal Medicine||Allopathic & Osteopathic Physicians||Cardiovascular Disease ||25431||Arizona|
|Internal Medicine||Allopathic & Osteopathic Physicians||Infectious Disease ||40956||Arizona|
|Physician Assistant||Physician Assistants & Advanced Practice Nursing Providers||Medical ||3560||Arizona|
Legacy Provider IDs of San Tan Cardiovascular Center, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of San Tan Cardiovascular Center, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the San Tan Cardiovascular Center, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Dottie Rankin|
|Authorized Official Title/Position||OFFICE SUPERVISOR|
|Authorized Official Phone Number||480-632-1577|