San Tan Cardiovascular Center, LLC

NPI #1205150026 in Gold Canyon, Arizona

Provider Information

NPI Number: 1205150026
Entity Type: Organization
Organization Name: San Tan Cardiovascular Center, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 23, 2010
Last Updated: May 7, 2010

Practice Location

Address: 6740 S KINGS RANCH RD
Address 2: SUITE 103
City: Gold Canyon
State: Arizona
ZIP Code: 85118-2925
Phone: (480) 543-1525

Authorized Official

Name: DOTTIE RANKIN
Title: OFFICE SUPERVISOR
Phone: (480) 632-1577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine - Infectious Disease — Infectious Disease	207RI0200X
Physician Assistant - Medical — Medical	363AM0700X
Internal Medicine	207R00000X	Primary

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