Healthcare Provider Details

I. General information

NPI: 1144627936
Provider Name (Legal Business Name): ARIZONA ARRHYTHMIA CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 11/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 N CIVIC CENTER PLZ STE 1
SCOTTSDALE AZ
85251-6919
US

IV. Provider business mailing address

3225 N CIVIC CENTER PLZ STE 1
SCOTTSDALE AZ
85251-6919
US

V. Phone/Fax

Practice location:
  • Phone: 480-246-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberAP7441
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License NumberAP7441
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberAP7441
License Number StateAZ

VIII. Authorized Official

Name: THOMAS MATTIONI
Title or Position: PHYSICIAN
Credential:
Phone: 480-246-3000