Jack Stephens Heart Institute LLC

NPI #1033404199 in Little Rock, Arkansas

Provider Information

NPI Number
1033404199
Entity Type
Organization
Organization Name
Jack Stephens Heart Institute LLC
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Jun 16, 2011
Last Updated
Feb 9, 2012

Practice Location

Address
5 ST. VINCENT CIRCLE
Address 2
STE 501
ZIP Code
72205-5414
Phone
(501) 666-2894

Authorized Official

Name
MR. PETER BANKO
Title
CEO/PRESIDENT
Phone
(501) 552-3922

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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