Healthcare Provider Details

I. General information

NPI: 1689417636
Provider Name (Legal Business Name): TRI-CITY CARDIOLOGY CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6750 E BAYWOOD AVE STE 301
MESA AZ
85206-1749
US

IV. Provider business mailing address

6343 E MAIN ST STE 12
MESA AZ
85205-8955
US

V. Phone/Fax

Practice location:
  • Phone: 480-835-6100
  • Fax:
Mailing address:
  • Phone: 480-835-6100
  • Fax: 480-461-4243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC3500X
TaxonomyCardiac Rehabilitation Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: THOMAS A RITCHIE
Title or Position: MD/AO
Credential:
Phone: 480-835-6100