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Contact Information

PEDIATRIC GASTROENTEROLOGY PROF ASSN
3196 S MARYLAND PKWY STE 309
LAS VEGAS, NV89109-2314
 Phone: 702-791-0477
 Fax: 702-791-6831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC GASTROENTEROLOGY PROF ASSN

NPI Number 1912182890
LBN Legal business name PEDIATRIC GASTROENTEROLOGY PROF ASSN
Authorized official HOWARD BARON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2008
Last updated 08/15/2013 - About 13 years ago
Identifiers
NV License # 6739
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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