MOUNTAIN HEART CATH LAB
Ambulatory Health at Thompson St, Flagstaff, AZ

License number
Arizona 30420
Category
Ambulatory Health
Type
Ambulatory Surgical
License number
Arizona 30420
Category
Ambulatory Health
Type
Rehabilitation, Cardiac Facilities
Owner
Name: SUZANNE R DUVAL
Title: CREDENTIALING
Phone: (928) 226-6400
Address
Address
2000 S Thompson St, Flagstaff, AZ 86001
National Provider ID: 1194988824
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MOUNTAIN HEART CATH LAB at bizstanding.com

MOUNTAIN HEART CATH LAB, PLLC

222 E Flt Rock Rdg Rd, Flagstaff, AZ 86001

Registration:
Jun 2, 2008
State ID:
P-1454423-3
Expiration:
PERPETUAL
Members:
Michael Zervas (Manager), 222 E Flt Rock Rdg Rd, Flagstaff, AZ 86001 (Physical),Kent D Winkler (Manager), 77 W Frst Ave #302, Flagstaff, AZ 86001 (Physical),James E Carter (Manager), 1515 E Cedar Ave, Flagstaff, AZ 86004 (Physical),...
Agent:
St Service Co,4250 N Drinkwater Blvd 4, Scottsdale, AZ 85251 (Physical)

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