| NPI | 1245272541 |
|---|---|
| Former Legal Business Name | GASTROENTEROLOGY GROUP, A MEDICAL CORPORATION |
| Former Legal Business Name | GASTROENTEROLOGY GROUP, AMC |
| Entity Type | Organization |
| Authorized Contact | HAZEL BRAUEN Practice Manager 985-871-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-06-09 |