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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Specialty |
261QM2500X | |||
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI # | 1386433258 |
| LBN Legal business name | ONE SOURCE VASCULAR |
| Authorized official | DAVID MURPHY - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 05/06/2025 |
| Last updated | 05/06/2025 - More than a year ago |
| Identifiers | n/a |
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ONE SOURCE VASCULAR
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ONE SOURCE VASCULAR