NPI | 1548308976 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD JAMES KROEGER Owner 252-522-0285 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 27814) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2020-08-22 |