Doctor Name: | MR. CHRISTOPHER TYLER MOGAN |
NPI Number: | 1467665695 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.C.P. |
License Number: | 049055 |
Business Practice Address: | 1501 N Campbell Ave Dept Of Ct Surgery Tucson, AZ - 857240001 |
Business Phone Number: | 5206266339 |
Business Fax Number: | |
Mailing Address: | 1501 N Campbell Ave, Po Box 245071 TUCSON |
State: | AZ |
Postal Code: | 857240001 |
Phone Number: | 5206266339 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 242T00000X |
License Number: | 049055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Perfusionist |
Taxonomy Specialization: | |
Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |