| NPI | 1538661848 |
|---|---|
| Doing Business As | PANHANDLE CARDIOLOGY AND VASCULAR MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RENEE NEVADA JOHNSON Credentialing Coordinator 540-536-0103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 2086S0129X |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2020-01-08 |