NPI 1033404199

Jack Stephens Heart Institute LLC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Little Rock, AR

Practice location

Address: 5 St. Vincent Circle STE 501, Little Rock, AR 72205-5414
Phone: (501) 666-2894
Fax: (501) 666-9017

Authorised official

Name: Peter Banko
Title: Ceo/President
Phone: (501) 552-3922

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Arkansas →

Registry record

NPI: 1033404199
Entity type: Organization
NPI issued: 16 Jun 2011
Record last updated: 9 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.