NPI | 1003199076 |
---|---|
Doing Business As | ADVANCED GASTROENTEROLOGY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | BARRETT JEFFREY WALLIS Owner 352-400-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2011-09-26 |
Last Update Date | 2012-08-07 |