| NPI | 1407021348 |
|---|---|
| Doing Business As | GASTROENTEROLOGY OF CENTRAL OREGON |
| Entity Type | Organization |
| Authorized Contact | GLENN M KOTEEN Owner/Physician 541-728-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR MD25338) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-11-14 |