| 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 |