Clinic for Chest Diseases, Pllc

NPI #1073944401 in Sun City, Arizona

Provider Information

NPI Number
1073944401
Entity Type
Organization
Organization Name
Clinic for Chest Diseases, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Dec 11, 2013
Last Updated
Dec 31, 2013

Practice Location

Address
10192 W COGGINS DR
State
Arizona
ZIP Code
85351-3405
Phone
(623) 974-2434

Authorized Official

Name
KENNY HEINE
Title
VP OF OPERATIONS
Phone
(858) 964-1506

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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