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Ponderosa Heart House Call
Cardiovascular Disease Physician in Mesa, Arizona
NPI 1073131561

Ponderosa Heart House Call is a Cardiovascular Disease Physician based in Mesa, AZ and is specialized in Cardiovascular Disease. Ponderosa Heart House Call practices in Mesa, AZ. The NPI Number for Ponderosa Heart House Call is 1073131561 and holds a License No. (Arizona).

The current practice location address for Ponderosa Heart House Call is 3707 E Southern Ave Ste 1023, Mesa, AZ and can be reached out via phone at 480-795-1515 and via fax at 480-597-1723.

Location: 3707 E Southern Ave Ste 1023, Mesa, AZ, 85206-6202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073131561
Provider Name
Ponderosa Heart House Call
Credential
Provider Entity Type
Organization
Address
3707 E Southern Ave Ste 1023, Mesa, AZ, 85206-6202
Phone Number
480-795-1515
Fax Number
480-597-1723
Provider Enumeration Date
07/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080154 05 AZ
OTC11031 01 AZ STATE LICENCURE
institution
Provider Business Practice Location Address Details
Address
3707 E Southern Ave Ste 1023
City
Mesa
State
Arizona
Zip
85206-6202
Phone Number
480-795-1515
Fax Number
480-597-1723
person
Provider Business Mailing Address Details
Address
3707 E Southern Ave Ste 1023
City
Mesa
State
Arizona
Zip
85206-6202
Phone Number
480-795-1515
Fax Number
480-597-1723
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
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Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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