NPI 1679502470

Havasu Cardiac Surgery PC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Lake Havasu City, AZ

Practice location

Address: 101 Civic Center Ln Attn: Havasu Cardiac Surgery, Lake Havasu City, AZ 86403-5607
Phone: (928) 854-0090
Fax: (928) 453-0671
Mailing address: 3131 E Clarendon Ave Suite 102, Phoenix, AZ 85016-7069

Authorised official

Name: Pierre R Tibi
Title: Owner
Phone: (602) 253-9168

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1679502470
Entity type: Organization
NPI issued: 2 Jul 2006
Record last updated: 10 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.