| NPI | 1447202726 |
|---|---|
| Doing Business As | CARDIOTHORACIC & VASCULAR ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DONETTA HESGARD Administrator 208-345-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |