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 is a Cardiovascular Disease Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone: (928) 226-6400
Fax: (928) 226-6411
Show map & directions

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

Other providers in Flagstaff