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 Number | 1356471833 |
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| LBN Legal business name | EASTSIDE VASCULAR LLP | ||||||||||||
| Authorized official | DUDLEY MOORHEAD - (PARTNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 03/06/2007 | ||||||||||||
| Last updated | 11/03/2009 - About 17 years ago | ||||||||||||
| Identifiers |
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