| NPI | 1386305670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L MUNFORD Clinical Manager 385-388-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |