NPI | 1659344133 |
---|---|
Doing Business As | NORTHSIDE GASTROENTEROLOGY ENDOSCOPY CENTER |
Entity Type | Organization |
Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IN 05-008902) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2022-04-22 |