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NPI Profile for JEFFERSON CARDIOVASCULAR AND THORACIC SERVICES in FESTUS, MO.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Clinical Cardiac Electrophysiology |
207RC0001X | 11 | Physician/Internal Medicine | |
Interventional Cardiology |
207RI0011X | 11 | Physician/Internal Medicine | |
Nuclear Cardiology |
207UN0901X | 36 | Physician/Nuclear Medicine |
| NPI Number | 1679836381 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/18/2012 | |
| Last updated | 06/18/2012 - About 14 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JEFFERSON CARDIOVASCULAR AND THORACIC SERVICES
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JEFFERSON CARDIOVASCULAR AND THORACIC SERVICES