| NPI | 1568689701 |
|---|---|
| Doing Business As | PMG SOUTH CARDIOVASCULAR SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOHN JACKSON Chief Executive Officer 541-732-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-10-30 |