Organization Name: | CARDIAC & PERIPHERAL VASCULAR SPECIALS OF NORTHERN ARIZONA |
NPI Number: | 1770762841 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA FOSTER (OFFICE MANAGER) |
Mailing Address: | 1515 E Cedar Ave Ste D-2 Flagstaff |
State: | AZ US |
Postal Code: | 860041638 |
Phone Number: | 9282131051 |
Fax Number: | 9282131053 |
NPI Enumeration Date: | 10/25/2007 |
NPI Last Update Date: | 10/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |