| NPI | 1396480372 |
|---|---|
| Other Name | MEADVILLE GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | CORY FRANK JACKSON Controller 814-333-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |