| NPI | 1306843842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G FAGEL President 859-341-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2014-10-07 |