NPI | 1114999604 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD B DIETHRICH President/Medical Director 602-266-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
207RI0011X Internal Medicine, Interventional Cardiology | |
207RP1001X Internal Medicine, Pulmonary Disease | |
208600000X Surgery | |
2086S0129X Surgery, Vascular Surgery | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
363A00000X Physician Assistant | |
363AS0400X Physician Assistant, Surgical | |
363L00000X Nurse Practitioner | |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
332B00000X Durable Medical Equipment & Medical Supplies | |
2085R0204X Radiology, Vascular & Interventional Radiology | |
Enumeration Date | 2006-02-07 |
Last Update Date | 2010-02-18 |