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ADVANCED CARDIOLOGY GROUP PC NPI 1245382407


NPI Information

NPI: 1245382407
Provider Name: ADVANCED CARDIOLOGY GROUP, PC

Other Name: ADVANCED CARDIOLOGY GROUP, PC

Classification: Nuclear Medicine - 207UN0901X
Entity Type: Organization

Specialization: Nuclear Cardiology

Address:
13188 N 103RD DR
SUITE 309
SUN CITY, AZ
ZIP 85351
Phone: (623) 974-1245
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ADVANCED CARDIOLOGY GROUP, PC is a nuclear cardiology nuclear medicine in Sun City, AZ. The provider is a nuclear medicine physician who specializes in nuclear cardiology. ADVANCED CARDIOLOGY GROUP, PC NPI is 1245382407. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Advanced Cardiology Group, Pc.

The provider's business location address is:

13188 N 103RD DR
SUITE 309
SUN CITY, AZ
ZIP 85351-064
Phone: (623) 974-1245
Fax: (623) 583-3394

The provider's authorized official is Ofa M. Weaver .
The authorized official title is Office Manager and has the following contact phone number (623) 974-1245.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 11/30/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207UN0901XNuclear MedicineNuclear Cardiology07-526ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z75575MEDICARE ID-TYPE UNSPECIFIEDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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