Healthcare Provider Details
I. General information
NPI: 1851694665
Provider Name (Legal Business Name): VALLEY HEART ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2010
Last Update Date: 12/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2075 W PECOS RD STE 1
CHANDLER AZ
85224
US
IV. Provider business mailing address
2075 W PECOS RD STE 1
CHANDLER AZ
85224
US
V. Phone/Fax
- Phone: 480-656-5711
- Fax: 480-656-5622
- Phone: 480-656-5711
- Fax: 480-656-5622
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207UN0901X |
| Taxonomy | Nuclear Cardiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
F
KLEE
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 480-656-5711