Rising Phoenix Heart Institute, Sc
NPI #1659555712 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1659555712
- Entity Type
- Organization
- Organization Name
- Rising Phoenix Heart Institute, Sc
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 26, 2007
- Last Updated
- Oct 17, 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
- NADIA MOUSSAVI, MD
- Title
- PRESIDENT / OWNER
- Phone
- (414) 541-7158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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