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NPI Code Detail

MEDICARE: CARDIOJOST, PLLC

MEDICARE: CARDIOJOST, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy
2207RC0000XCardiovascular Disease Physician28064AZ

General Provider Information

NPI Number : 1023122843
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOJOST, PLLC
Provider Business Mailing Address
First Line : 7529 E BROADWAY RD STE 101
Second Line :
City : MESA
State : AZ
Zip : 85208-2007
Country : US
Telephone Number : 480-945-4343
Fax Number : 480-945-4350
Provider Business Practice Location Address
First Line : 7529 E BROADWAY RD STE 101
Second Line :
City : MESA
State : AZ
Zip : 85208-2007
Country : US
Telephone Number : 480-945-4343
Fax Number : 480-945-4350
Authorized Official
Title or Position : CEO
Name : CHARLES M.T. JOST
Credential : MD
Telephone Number : 480-945-4343
Provider Enumeration Date : 08/18/2006
Last Update Date : 05/01/2025

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