NPI | 1053431924 |
---|---|
Former Legal Business Name | GASTROENTEROLOGISTS CONSULTANTS OF JASPER, PC |
Entity Type | Organization |
Authorized Contact | LUIS R DAVILA President 205-295-9630 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 25227) |
Enumeration Date | 2007-04-01 |
Last Update Date | 2014-11-19 |