NPI | 1518198324 |
---|---|
Doing Business As | GENESIS PEDIATRIC GASTROENTEROLOGY |
Entity Type | Organization |
Authorized Contact | MARK G. ROGERS VP Of Finance, CFO 563-421-6513 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
Enumeration Date | 2009-07-29 |
Last Update Date | 2009-07-29 |