| NPI | 1073846879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA R PEIRSON Billing Manager 877-283-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 35693) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2010-02-11 |