| NPI | 1770503112 |
|---|---|
| Doing Business As | LICKING MEMORIAL GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | ROBERT A. MONTAGNESE Executive V.P. 740-348-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |