Advanced Gastroenterology Associates

NPI 1184985475 - Internal Medicine - 207RG0100X

NPI Details
NPI 1184985475
Enumeration Date 06/03/2012
Last Updated 04/21/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name AUTUMN L AUTUMN
Position PRACTICE MANAGER
Phone (505) 436-2906
Fax (505) 436-2197
Practice Location
4801 N BUTLER AVE
SUITE 13102
FARMINGTON NM, 87401-6002, US
Phone (505) 436-2906
Fax (505) 436-2197
Business Location
4801 N BUTLER AVE
SUITE 13102
FARMINGTON NM, 87401-6002, US
Phone (505) 436-2906
Fax (505) 436-2197
Toxanomy
Taxonomy Code 207RG0100X
License State
License Number
Remove 1184985475 NPI Number
 

According to our database, Advanced Gastroenterology Associates NPI is 1184985475, taxonomy code is 207RG0100X Advanced Gastroenterology Associates physically located at 4801 N Butler Ave, Farmington NM, 87401-6002. NPI Number 1033115704 has the healthcare provider type.

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1184985475 NPI number is provided on an as is basis without warranty of any kind. 1184985475 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Gastroenterology Associates are for informational purposes only.