NPI | 1639351638 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH F RODGERS Owner 870-236-2202 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR C7528) |
Enumeration Date | 2007-11-30 |
Last Update Date | 2016-11-22 |