Organization
JACK STEPHENS HEART INSTITUTE LLC
Active
Other names
St. Vincent Cardiovascular Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER BANKO (CEO/PRESIDENT)
(501) 552-3922
Entity
Organization
Contact information
Practice address
5 ST. VINCENT CIRCLE, STE 501, LITTLE ROCK, AR 72205-5414
(501) 666-2894
(501) 666-9017
Mailing address
5 ST. VINCENT CIRCLE, STE 501, LITTLE ROCK, AR 72205-5414
(501) 666-2894
(501) 666-9017
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
AR
Other
Enumeration date
06/16/2011
Last updated
02/09/2012
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