| NPI | 1982217469 |
|---|---|
| Doing Business As | THE GASTROENTEROLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES CREVLING CFO 970-384-6606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |