| NPI | 1558140822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LIEBLONG President 870-932-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |