| NPI | 1598849721 |
|---|---|
| Doing Business As | VERDE VALLEY HEART CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES G. DWYER President 928-634-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 31960) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 28611) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 14218) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AZ 15736) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN073457) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |