Organization
CARDIOVASCULAR MEDICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL EDWARD NEWSOM (CHIEF OPERATING OFFICER)
(812) 280-3302
Entity
Organization
Contact information
Practice address
100 MALLARD CREEK RD STE 150, LOUISVILLE, KY 40207
(502) 589-7907
(502) 589-1319
Mailing address
4601 MEDICAL PLAZA WAY, CLARKSVILLE, IN 47129-9204
(812) 280-3302
(812) 280-5960
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
07/14/2017
Last updated
05/22/2018
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