| NPI | 1457508723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD B. DIETHRICH Medical Director 602-266-2200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2018-06-21 |