National Provider Identifier Database

CARDIAC KIDS PLLC
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

CARDIAC KIDS, PLLC
1330 N RIM DR
SUITE A
FLAGSTAFF, AZ86001-3134
Phone: 928-779-7014
Fax: 928-779-3493
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for CARDIAC KIDS, PLLC

NPI Number 1124394556
Legal business name
LBN
CARDIAC KIDS, PLLC
Authorized official JEFFREY ROCKOW - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/29/2012
Last updated 08/09/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 25161
  • AZ Medicaid: 393059

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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