| NPI | 1740264274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK ALVIN CORDER Owner/Physician/Medical Director 662-284-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center Endoscopy |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2016-09-08 |