| NPI | 1861657710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA K BAKER Billing Manager 888-801-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G12425) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2013-12-12 |