Provider Demographics
NPI:1225348360
Name:PALO VERDE PERFUSION INC.
Entity Type:Organization
Organization Name:PALO VERDE PERFUSION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:BRESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:CCP
Authorized Official - Phone:520-885-8800
Mailing Address - Street 1:2251 N INDIAN RUINS RD
Mailing Address - Street 2:STE C
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-5331
Mailing Address - Country:US
Mailing Address - Phone:520-885-8800
Mailing Address - Fax:
Practice Address - Street 1:2251 N INDIAN RUINS RD
Practice Address - Street 2:STE C
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-5331
Practice Address - Country:US
Practice Address - Phone:520-885-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionistGroup - Single Specialty