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NPI Code Detail

MEDICARE: ARIZONA CARDIOLOGY GROUP PC

MEDICARE: ARIZONA CARDIOLOGY GROUP 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

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CD3745OTHERAZRAILROAD MEDICARE

General Provider Information

NPI Number : 1457343303
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA CARDIOLOGY GROUP PC
Provider Business Mailing Address
First Line : 340 E PALM LN
Second Line : SUITE 175
City : PHOENIX
State : AZ
Zip : 85004-4603
Country : US
Telephone Number : 602-386-1100
Fax Number : 602-386-1150
Provider Business Practice Location Address
First Line : 340 E PALM LN
Second Line : SUITE 175
City : PHOENIX
State : AZ
Zip : 85004-4603
Country : US
Telephone Number : 602-386-1100
Fax Number : 602-386-1150
Authorized Official
Title or Position : PRESIDENT
Name : JAMES HINES
Credential : M.D.
Telephone Number : 602-386-1100
Provider Enumeration Date : 08/17/2005
Last Update Date : 11/30/2009

Similar Medicare Providers

1952301228 — IRA EHRLICH M.D.
Practice Location Address:
340 E PALM LN , SUITE 175
PHOENIX, AZ
85004-4603
Practice Phone: 602-386-1100
Practice Fax: 602-386-1150
1104818178 — DAVID HOELZINGER M.D.
Practice Location Address:
340 E PALM LN , SUITE 175
PHOENIX, AZ
85004-4603
Practice Phone: 602-386-1100
Practice Fax: 602-386-1150
1831181809 — MITCHELL JOSHUA ROSS M.D.
Practice Location Address:
340 E PALM LN , SUITE 175
PHOENIX, AZ
85004-4603
Practice Phone: 602-386-1100
Practice Fax: 602-386-1150
1073505160 — JOHN FITZGERALD M.D.
Practice Location Address:
340 E PALM LN , SUITE 175
PHOENIX, AZ
85004-4603
Practice Phone: 602-386-1100
Practice Fax: 602-386-1150
1770575631 — JAMES HINES M.D.
Practice Location Address:
340 E PALM LN , SUITE 175
PHOENIX, AZ
85004-4603
Practice Phone: 602-386-1100
Practice Fax: 602-386-1150
1376535237 — THOMAS FREDRICK ROSS M.D.
Practice Location Address:
340 E PALM LN , SUITE 175
PHOENIX, AZ
85004-4603
Practice Phone: 602-386-1100
Practice Fax: 602-386-1150

Directions to “ARIZONA CARDIOLOGY GROUP PC ” Practice Location

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