| NPI | 1700454402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J SLEPIN President 866-459-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-07-26 |