PHOENIX HEART PLLC NPI 1679608095

NPI Information

PHOENIX HEART, PLLC is a cardiovascular disease internal medicine in Glendale, AZ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PHOENIX HEART, PLLC NPI is 1679608095. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5859 W TALAVI BLVD STE 100
GLENDALE, AZ
ZIP 85306-870
Phone: (602) 298-7777
Fax: (623) 930-6060

The provider's authorized official is Lysa Munhall .
The authorized official title is Credentialing Manager and has the following contact phone number (602) 298-7777.

The CLIA number assigned to this NPI record is 03D1074757 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 3/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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