Home » Arizona » 85118 » San Tan Cardiovascular Center, Llc

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.

physician-icon Basic Information

Practice Location 6740 S Kings Ranch Rd, Suite 103, Gold Canyon, AZ 85118-2925, US
Practice Location Phone480-543-1525
Practice Location Fax
Legal Business NameSAN TAN CARDIOVASCULAR CENTER, LLC
NPI ?1205150026
Entity TypeOrganization
Enumeration Date ? Mar 23, 2010
Last Update Date ? May 7, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of San Tan Cardiovascular Center, Llc

SpecialtySpecializationLicenseLicense State
Internal Medicine 49056Arizona
Internal MedicineCardiovascular Disease 25431Arizona
Internal MedicineInfectious Disease 40956Arizona
Physician AssistantMedical 3560Arizona

legacy-id-icon Legacy Provider IDs of San Tan Cardiovascular Center, Llc

Provider IdIssuer StateIssuer TypeIssuer
1548438716ArizonaOtherNPI
1528020377ArizonaOtherNPI

official-icon 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/PositionOFFICE SUPERVISOR
Authorized Official Phone Number480-632-1577