Organization Name: | MYO CARDIOVASCULAR CLINIC |
NPI Number: | 1487024758 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARMIN FOGHI (MD) |
Mailing Address: | 1790 Grande Blvd Se Rio Rancho |
State: | NM US |
Postal Code: | 871241726 |
Phone Number: | 5058920402 |
Fax Number: | 5058925544 |
NPI Enumeration Date: | 09/30/2015 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD2005-0713 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |