| 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 |