Rising Phoenix Heart Institute
NPI #1073940235 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1073940235
- Entity Type
- Organization
- Organization Name
- Rising Phoenix Heart Institute
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Oct 2, 2013
- Last Updated
- Oct 2, 2013
Practice Location
- Address
- 2323 S 109TH ST
- Address 2
- SUITE 195
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-1909
- Phone
- (414) 541-7158
Authorized Official
- Name
- DR. NADIA MOUSSAVI, MD
- Title
- PRESIDENT
- Phone
- (414) 541-7158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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