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PERFORMANCE CARDIOLOGY PC NPI 1932275047


NPI Information

NPI: 1932275047
Provider Name: PERFORMANCE CARDIOLOGY PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 06D1065513

Address:
1201 MAIN AVE STE 203
DURANGO, CO
ZIP 81301
Phone: (970) 403-0555
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PERFORMANCE CARDIOLOGY PC is a cardiovascular disease internal medicine in Durango, CO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PERFORMANCE CARDIOLOGY PC NPI is 1932275047. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1201 MAIN AVE STE 203
DURANGO, CO
ZIP 81301-161
Phone: (970) 403-0555
Fax: (970) 403-0557

The provider's authorized official is Bruce Edward Andrea .
The authorized official title is Owner President and has the following contact phone number (970) 403-0555.

The CLIA number assigned to this NPI record is 06D1065513 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 9/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease33644COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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