| NPI | 1356570378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA R PEIRSON Billing Manager 877-283-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 31649) |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2010-04-09 |