Organization Name: | STANTON CARDIOLOGY CENTER, PLLC |
NPI Number: | 1003908963 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD JAMES STANTON (OWNER) |
Mailing Address: | 4315 Maccorkle Ave Se Charleston |
State: | WV US |
Postal Code: | 253042503 |
Phone Number: | 3049268080 |
Fax Number: | 3049268083 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 11/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207UN0901X |
License Number: | 12013 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Nuclear Medicine |
Taxonomy Specialization: | Nuclear Cardiology |
Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |