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NPI Code Detail

MEDICARE: SOUTHWEST CARDIOLOGY ASSOCIATES PC

MEDICARE: SOUTHWEST CARDIOLOGY ASSOCIATES PC
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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1184777831
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST CARDIOLOGY ASSOCIATES PC
Provider Business Mailing Address
First Line : 19841 N 27TH AVE
Second Line : SUITE 103
City : PHOENIX
State : AZ
Zip : 85027-4003
Country : US
Telephone Number : 602-956-2141
Fax Number : 602-956-2752
Provider Business Practice Location Address
First Line : 19841 N 27TH AVE
Second Line : SUITE 103
City : PHOENIX
State : AZ
Zip : 85027-4003
Country : US
Telephone Number : 602-956-2141
Fax Number : 602-956-2752
Authorized Official
Title or Position : OWNER
Name : MYRON B LICHT
Credential : D.O.
Telephone Number : 602-956-2141
Provider Enumeration Date : 01/18/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1811971393 — DR. RICHARD A WALL M.D.
Practice Location Address:
19841 N 27TH AVE , STE. 101
PHOENIX, AZ
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1710903455 — JOHN LOUIS BEGHIN M.D.
Practice Location Address:
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1871506543 — INFECTIOUS DISEASE ASSOCIATES LLC
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19841 N 27TH AVE , SUITE 200
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1598778177 — DR. NGOZI ADAMMA OSONDU M.D
Practice Location Address:
19841 N 27TH AVE , SUITE 200
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1487742268 — TODD VINCENT LINCOLN D.O.
Practice Location Address:
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1689712390 — NORTH VALLEY OBSTETRICS AND GYNECOLOGY
Practice Location Address:
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Directions to “SOUTHWEST CARDIOLOGY ASSOCIATES PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.