| NPI | 1295854206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS STACKER CEO 662-378-3783 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-11-14 |