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NPI Code Detail

MEDICARE: CARDIOVASCULAR ASSOCIATES OF MESA-GILBERT OFFICE

MEDICARE: CARDIOVASCULAR ASSOCIATES OF MESA-GILBERT OFFICE
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
1174400000XSpecialist

General Provider Information

NPI Number : 1710070719
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOVASCULAR ASSOCIATES OF MESA-GILBERT OFFICE
Provider Business Mailing Address
First Line : 5656 S POWER RD
Second Line : SUITE 140
City : HIGLEY
State : AZ
Zip : 85236-5421
Country : US
Telephone Number : 480-988-4714
Fax Number :
Provider Business Practice Location Address
First Line : 5656 S POWER RD
Second Line : SUITE 140
City : HIGLEY
State : AZ
Zip : 85236-5421
Country : US
Telephone Number : 480-988-4714
Fax Number :
Authorized Official
Title or Position : PRACTICE ADMINISTRATOR
Name : MRS. DEB TELLES
Credential :
Telephone Number : 480-641-5400
Provider Enumeration Date : 10/02/2006
Last Update Date : 08/22/2020

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Directions to “CARDIOVASCULAR ASSOCIATES OF MESA-GILBERT OFFICE ” Practice Location

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