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1164455952
PEDIATRIC GASTROENTEROLOGY PSC
LOUISVILLE, KY
NPI
1164455952
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Entity Type
Organization
Authorized Contact
THGMAS C STEPHEN
President
502-629-5796
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: KY 0424168)
Enumeration Date
2006-07-08
Last Update Date
2022-05-19
Business Address
PEDIATRIC GASTROENTEROLOGY PSC
233 E GRAY ST SUITE 513
LOUISVILLE, KY 40202-2026
Phone number: 502-629-5796
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Mailing Address
PEDIATRIC GASTROENTEROLOGY PSC
233 E GRAY ST SUITE 513
LOUISVILLE, KY 40202-2026
Phone number: 502-629-5796
Copy
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