NPI | 1902159718 |
---|---|
Doing Business As | ASSOCIATED GASTROENTEROLOGY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Ops 858-964-1506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA G22807) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2012-10-23 |