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A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI # | 1225351901 |
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| LBN Legal business name | WILLAMETTE VASCULAR SPECIALISTS, PC | ||||
| Authorized official | MARK PETERSON - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/09/2010 | ||||
| Last updated | 03/08/2011 - About 15 years ago | ||||
| Identifiers |
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WILLAMETTE VASCULAR SPECIALISTS, PC