| NPI | 1467097030 |
|---|---|
| Former Legal Business Name | THE HEART AND VASCULAR CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES CREVLING CFO 970-384-6606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |