Provider Demographics
NPI:1740367192
Name:ARIZONA ARRHYTHMIA CONSULTANTS, PLC
Entity type:Organization
Organization Name:ARIZONA ARRHYTHMIA CONSULTANTS, PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RORVIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-246-3000
Mailing Address - Street 1:3225 N CIVIC CENTER PLAZA
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251
Mailing Address - Country:US
Mailing Address - Phone:480-246-3000
Mailing Address - Fax:480-246-3100
Practice Address - Street 1:3225 N CIVIC CENTER PLZ
Practice Address - Street 2:SUITE 1
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6919
Practice Address - Country:US
Practice Address - Phone:480-246-3000
Practice Address - Fax:480-246-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZCN2595OtherMEDICARE RAILROAD
AZ60037Medicare PIN