| NPI | 1013278936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI CASE Rcm 671-488-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2018-05-15 |