Healthcare Provider Details

I. General information

NPI: 1437385192
Provider Name (Legal Business Name): ARROW PERFUSION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 06/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 MESQUITE AVE SUITE 202
LAKE HAVASU CITY AZ
86403-5677
US

IV. Provider business mailing address

8144 E CACTUS RD SUITE 800
SCOTTSDALE AZ
85260-5266
US

V. Phone/Fax

Practice location:
  • Phone: 928-854-0090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code242T00000X
TaxonomyPerfusionist
License Number
License Number StateAZ

VIII. Authorized Official

Name: DR. CHRISTOPHER KWON
Title or Position: OWNER
Credential: MD
Phone: 928-854-0090