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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 | |
Specialist |
174400000X |
| NPI Number | 1356859334 |
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| LBN Legal business name | PROVIDENCE HEALTH SERVICES, INC | ||||
| Authorized official | BEAU HIGGINBOTHAN - (VICE PRESIDENT/COO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 01/12/2018 | ||||
| Last updated | 01/12/2018 - About 8 years ago | ||||
| Identifiers |
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PROVIDENCE HEALTH SERVICES, INC
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PROVIDENCE HEALTH SERVICES, INC