Organization
HEART AND VASCULAR CARE, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MARK GRAHAM M. D. (PRESIDENT)
(417) 782-2190
Entity
Organization
Contact information
Practice address
805 GULF ST, LAMAR, MO 64759-1238
(417) 782-2190
(417) 782-6750
Mailing address
2817 MCCLELLAND BLVD, SUITE 220, JOPLIN, MO 64804-1629
(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
—
506041805
—
MO
Enumeration date
08/19/2008
Last updated
08/19/2008
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