| NPI | 1568578201 |
|---|---|
| Former Legal Business Name | NORTHSIDE GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | GALINTON BRYAN Practice Admin 317-872-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-02-08 |