Physician Groups Lc Valid NPI
Organization · Gastroenterology Physician · O Fallon, MO
- NPI
- 1790978757
- Type
- Organization (Type 2)
- Primary specialty
- Gastroenterology Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RG0100X
- Enumerated
- 2007-08-23
- Last updated
- 2008-01-04
Practice location
2 Progress Point Ct, Suite 101c
O Fallon, MO 63368-2208
(636) 916-9080