NPI | 1538416052 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WILLIAM ROAT President 712-252-1322 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 23838) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2018-08-17 |