MEDICARE: ARROW PERFUSION SERVICES LLC

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
1	242T00000X	Perfusionist		AZ

General Provider Information

NPI Number	:	1437385192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARROW PERFUSION SERVICES LLC

Provider Business Mailing Address
First Line	:	8144 E CACTUS RD
Second Line	:	SUITE 800
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-5266
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 MESQUITE AVE
Second Line	:	SUITE 202
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-5677
Country	:	US
Telephone Number	:	928-854-0090
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHRISTOPHER KWON
Credential	:	MD
Telephone Number	:	928-854-0090

Provider Enumeration Date	:	06/08/2009
Last Update Date	:	06/08/2009

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Directions to “ARROW PERFUSION SERVICES LLC ” Practice Location

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