| NPI | 1407311681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE TOPPIN Secretary 662-377-4229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |