Gamma Healthcare, Inc

NPI 1023420072 - Physiological Laboratory - 293D00000X

NPI Details
NPI 1023420072
Enumeration Date 05/27/2014
Last Updated 05/27/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JERRY W JERRY
Position CHAIRMAN & CEO
Phone (573) 727-5600
Fax (573) 785-0753
Practice Location
1717 W MAUD ST
POPLAR BLUFF MO, 63901-4003, US
Phone (573) 727-5600
Fax (573) 785-0753
Business Location
1717 W MAUD ST
POPLAR BLUFF MO, 63901-4003, US
Phone (573) 727-5600
Fax (573) 785-0753
Toxanomy
Taxonomy Code 293D00000X
License State
License Number
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According to our database, Gamma Healthcare, Inc NPI is 1023420072, taxonomy code is 293D00000X Gamma Healthcare, Inc physically located at 1717 W Maud St, Poplar Bluff MO, 63901-4003. NPI Number 1033115704 has the healthcare provider type.

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1023420072 NPI number is provided on an as is basis without warranty of any kind. 1023420072 is maintained by the National Plan & Provider Enumeration System. The contents of Gamma Healthcare, Inc are for informational purposes only.