Heart Institute of Northern Arizona LLC

NPI #1922089416 in Kingman, Arizona

Provider Information

NPI Number: 1922089416
Entity Type: Organization
Organization Name: Heart Institute of Northern Arizona LLC
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Nov 10, 2005
Last Updated: Oct 6, 2009

Practice Location

Address: 1753 AIRWAY AVE
Address 2: SUITE B
City: Kingman
State: Arizona
ZIP Code: 86409-3720
Phone: (928) 692-6200

Authorized Official

Name: MR. GARY GUIDRY
Title: CEO
Phone: (704) 815-7804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Sleep Disorder Diagnostic — Sleep Disorder Diagnostic	261QS1200X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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