IndividualActive
Anthony Desjardins, MS, CCP
NPI 1801135553 · Perfusionist · Flagstaff, AZ
Provider details
- NPI number
- 1801135553
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- MS, CCP
- Sex
- Male
- Sole proprietor
- No
- License
- PL082 (MA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 773-2412
Fax: (928) 214-2757
Approximate (ZIP-level) locationGet directions
Mailing address
3490 W Corral Gate
Flagstaff, AZ 86001-2585
Registry dates
- Enumerated
- 2013-01-31
- Last updated
- 2013-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.