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DESERT CARDIOVASCULAR GROUP LTD NPI 1497903389


NPI Information

NPI: 1497903389
Provider Name: DESERT CARDIOVASCULAR GROUP LTD
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2530 E WILCOX DR
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 417-0586
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DESERT CARDIOVASCULAR GROUP LTD is a cardiovascular disease internal medicine in Sierra Vista, 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. DESERT CARDIOVASCULAR GROUP LTD NPI is 1497903389. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2530 E WILCOX DR
SIERRA VISTA, AZ
ZIP 85635-843
Phone: (520) 417-0586
Fax: (520) 417-4207

The provider's authorized official is Richard M Gladding .
The authorized official title is Sole Member and has the following contact phone number (520) 417-0586.

The enumeration date for this NPI number is 9/4/2008 and was last updated on 11/17/2008.


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
1207RC0000XInternal MedicineCardiovascular Disease1894ARIZONAYes

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
1Z124880MEDICARE PINARIZONA

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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