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NPI Code Detail

MEDICARE: CARDIOVASCULAR ANESTHESIOLOGISTS, P.C.

MEDICARE: CARDIOVASCULAR ANESTHESIOLOGISTS, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1588751416
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOVASCULAR ANESTHESIOLOGISTS, P.C.
Provider Business Mailing Address
First Line : PO BOX 1155
Second Line :
City : BILLINGS
State : MT
Zip : 59103-1155
Country : US
Telephone Number : 406-896-2447
Fax Number : 406-896-2491
Provider Business Practice Location Address
First Line : 940 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0742
Country : US
Telephone Number : 406-248-7186
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. LANCE K PARKS
Credential : M.D.
Telephone Number : 406-896-2447
Provider Enumeration Date : 10/10/2006
Last Update Date : 04/18/2011

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