OrganizationActive
Grand Canyon Perfusion, Inc.
NPI 1659373322 · Surgical Technologist · Mesa, AZ
Provider details
- NPI number
- 1659373322
- Entity type
- Organization
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Mark Christenson, Office Manager(480) 659-6964
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2753 E Broadway Rd
#101-454
Mesa, AZ 85204-1579
Phone: (480) 659-6964
Fax: (480) 659-6791
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27588
Tempe, AZ 85285-7588
Registry dates
- Enumerated
- 2005-08-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.