Provider Demographics
NPI:1831825892
Name:PARADISE VALLEY HEART AND RHYTHM, PLLC
Entity type:Organization
Organization Name:PARADISE VALLEY HEART AND RHYTHM, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNRO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-841-2776
Mailing Address - Street 1:3805 E BELL RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2110
Mailing Address - Country:US
Mailing Address - Phone:732-841-2776
Mailing Address - Fax:
Practice Address - Street 1:3805 E BELL RD STE 1600
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2110
Practice Address - Country:US
Practice Address - Phone:602-888-4250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-30
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ407831Medicaid