| NPI | 1114585734 |
|---|---|
| Doing Business As | USA GASTROENTEROLOGY-ADULT |
| Entity Type | Organization |
| Authorized Contact | GLEN OWEN BAILEY CEO 251-471-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |