| NPI | 1063114312 |
|---|---|
| Doing Business As | GASTROENTEROLOGY WEST JORDAN |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |