Provider Demographics
NPI:1629474937
Name:MCCUE, ANDREW (RVT, BS)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:MCCUE
Suffix:
Gender:M
Credentials:RVT, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7725 N 43RD AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-5775
Mailing Address - Country:US
Mailing Address - Phone:623-931-9201
Mailing Address - Fax:623-934-5414
Practice Address - Street 1:7725 N 43RD AVE STE 111
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-5775
Practice Address - Country:US
Practice Address - Phone:623-931-9201
Practice Address - Fax:623-934-5414
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE93882246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist