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Organization
CARDIOPULMONARY PROVIDER INC
Active
Organization
CARDIOPULMONARY PROVIDER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE E. MOSBY CRTT (CEO)
(901) 854-9294
Entity
Organization
Contact information
Practice address
1131 S PRESCOTT ST, MEMPHIS, TN 38111-5555
(901) 854-9294
Mailing address
PO BOX 11486, MEMPHIS, TN 38111-0486
(901) 854-9294
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
TN
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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