Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology |
| NPI Number | 1003888710 |
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| LBN Legal business name | DIGESTIVE ENDOSCOPY CENTER LLC | ||||||||
| Authorized official | JEFFREY SNODGRASS - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 02/06/2006 | ||||||||
| Last updated | 05/06/2022 - About 4 years ago | ||||||||
| Identifiers |
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