| NPI | 1992935688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY GRECO Sr. Enrollment Manager 223-341-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2025-11-21 |