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Organization
HEART AND VASCULAR CARE, P.C.
Active
Organization
HEART AND VASCULAR CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARVETTA L CUNNINGHAM (OFFICE MANAGER)
(417) 782-2190
Entity
Organization
Contact information
Practice address
2711 S ROUSE ST, PITTSBURG, KS 66762-6620
(417) 782-2190
(417) 782-6750
Mailing address
PO BOX 5009, JOPLIN, MO 64803-5009
(417) 782-2190
(417) 782-6750
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100458760A
—
KS
Enumeration date
10/22/2007
Last updated
08/07/2008
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