Advanced Cardiac Specialists, Chartered

Organization Active NPI Cardiovascular Disease Physician · Prescott, AZ

NPI 1376715458 · NPPES record last updated May 14, 2009

Key facts

NPI
1376715458
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
ADVANCED CARDIAC SPECIALISTS, CHARTERED
Practice address
980 Willow Creek Rd
Suite 201
Prescott, AZ 86301-1611
Phone
(928) 445-4142
Fax
(480) 982-1400
NPI assigned
Mar 28, 2008
Organization subpart
No

Authorized official

Name
Mr. William Fazio
Title
Controller
Phone
(480) 545-1808

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X AZ Yes
Nuclear Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207UN0901X AZ
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X AZ

Addresses

Primary practice location

980 Willow Creek Rd
Suite 201
Prescott, AZ 86301-1611

Mailing address

PO Box 63423
Phoenix, AZ 85082-3423
Phone (480) 892-2800

Other names

  • Advanced Cardiac Specialists Other name

Other providers in Prescott, AZ

All providers in Prescott, AZ · Cardiovascular Disease Physician in Arizona

Sources for this page

Verify at the official NPI Registry.