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 |