| NPI | 1073813598 |
|---|---|
| Doing Business As | PROCTOLOGY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MAZIAR GHODSIAN President 800-280-6384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA 20A9722) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2015-09-15 |