NPI | 1679266290 |
---|---|
Doing Business As | NORTHERN ARIZONA HEALTHCARE MEDICAL GROUP CARDIOLOGY & ENTIRE CARE WES |
Entity Type | Organization |
Authorized Contact | CLIFFORD LOADER VP CFO 928-773-2282 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
207RS0012X Internal Medicine Sleep Medicine | |
207YS0012X Otolaryngology Sleep Medicine | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
225100000X Physical Therapist | |
261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner Acute Care | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2023-05-30 |
Last Update Date | 2024-07-29 |