Provider Demographics
NPI:1649521857
Name:CARDIOVASCULAR INSTITUTE II, P.C.
Entity type:Organization
Organization Name:CARDIOVASCULAR INSTITUTE II, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMEO
Authorized Official - Middle Name:ANTON
Authorized Official - Last Name:PAVLIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-557-7776
Mailing Address - Street 1:PO BOX 637
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99210-0637
Mailing Address - Country:US
Mailing Address - Phone:509-557-7776
Mailing Address - Fax:509-838-9683
Practice Address - Street 1:25 W NORA AVE STE 220
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-4800
Practice Address - Country:US
Practice Address - Phone:509-557-7776
Practice Address - Fax:509-838-9683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603 203 708207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty