NPI | 1538365051 |
---|---|
Doing Business As | WESTSIDE GASTROENTEROLOGY CONSULTANTS |
Entity Type | Organization |
Authorized Contact | HEATHER RUTHERFORD Credentialing Coordinator 317-837-5571 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2007-06-22 |
Last Update Date | 2024-01-24 |