Organization
HEART AND VASCULAR CARE
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
800 S ASH ST, NEVADA, MO 64772-3223
(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
Enumeration date
10/22/2007
Last updated
10/22/2007
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