Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Heart Medical Practice PLLC

Organization Cardiovascular Disease Physician · NPI 1306009519

Mountain Heart Medical Practice PLLC provides Cardiovascular Disease Physician services in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2000 S Thompson St
Flagstaff, AZ 86001-8759 Not confirmed with CMS for 17 years — call before visiting
Phone: (928) 226-6400
Fax: (928) 226-6411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 30420 (AZ)

Record details

NPI number1306009519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzanne Duval — Credentialing · 90282266400
NPI enumeratedJuly 8, 2008
Last updated in NPPESApril 7, 2009
Mailing address2000 S Thompson St, Flagstaff, AZ 86001-8759

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