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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI Number | 1174356489 |
| LBN Legal business name | SOUDER GASTRO |
| Authorized official | BOB SOUDER - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/22/2024 |
| Last updated | 08/22/2024 - More than a year ago |
| Identifiers | n/a |
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SOUDER GASTRO
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SOUDER GASTRO