Healthcare Provider Details

I. General information

NPI: 1831825892
Provider Name (Legal Business Name): PARADISE VALLEY HEART AND RHYTHM, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2022
Last Update Date: 08/02/2022
Certification Date: 08/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 E BELL RD STE 1600
PHOENIX AZ
85032-2110
US

IV. Provider business mailing address

3805 E BELL RD STE 1600
PHOENIX AZ
85032-2110
US

V. Phone/Fax

Practice location:
  • Phone: 602-888-4250
  • Fax:
Mailing address:
  • Phone: 732-841-2776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY MUNRO
Title or Position: PHYSICIAN
Credential: DO
Phone: 732-841-2776