NPI | 1356859334 |
---|---|
Doing Business As | PHS CARDIOLOGY |
Entity Type | Organization |
Authorized Contact | BEAU HIGGINBOTHAN Vice President/COO 410-368-3182 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC HFD01-0212) |
Additional Taxonomies | 174400000X Specialist (Licence: DC HFD01-0212) |
Enumeration Date | 2018-01-12 |
Last Update Date | 2018-01-12 |