Organization · Type 2 NPI
Jetty Heart Clinic
Cardiovascular Disease Physician · Anderson, IN
NPI number
1205013653
Active
Practice location
1210 B Medical Arts Boulevard, Suite 217
Anderson, IN 46011-3439
Fax (765) 298-4926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | 01040154A (IN) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Other cardiovascular disease physician providers in Anderson
About NPI 1205013653
Jetty Heart Clinic's National Provider Identifier is 1205013653, issued on Jan 29, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Anderson, IN. The record was last updated on Oct 23, 2008.