| NPI | 1578121919 |
|---|---|
| Doing Business As | USA GASTROENTEROLOGY - PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | GLEN OWEN BAILEY CEO 251-471-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |