Organization · Type 2 NPI
Heart Lung and Vascular Surgery PC
Specialist · Council Bluffs, IA
NPI number
1710129671
Active
Practice location
210 Ridge, Jennie Edmundsen Hospital
Council Bluffs, IA 51503
Fax (402) 393-1098
Mailing address
7710 Mercy Rd, Suite 420
Omaha, NE 68124-2372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 27908 (IA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1710129671
Heart Lung and Vascular Surgery PC's National Provider Identifier is 1710129671, issued on Mar 24, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Council Bluffs, IA. The record was last updated on May 11, 2011.