Organization Name: | NORTHERN NEVADA CARDIOLOGY PC |
NPI Number: | 1225464548 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COLIN M FULLER (OWNER) |
Mailing Address: | 1850 Spring Ridge Dr Suite B Susanville |
State: | CA US |
Postal Code: | 961306100 |
Phone Number: | 7753564514 |
Fax Number: | 7753564991 |
NPI Enumeration Date: | 09/18/2013 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |