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Contact Information

GRAND CANYON PERFUSION, INC.
2753 E BROADWAY RD
#101-454
MESA, AZ85204-1579
 Phone: 480-659-6964
 Fax: 480-659-6791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
Indicates primary specialty

NPI Profile & details for GRAND CANYON PERFUSION INC · (Female)

NPI Number 1659373322
Status Active
Credentials
Entity Individual
Enumeration date 08/12/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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