Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X | |||
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1699189043 |
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| LBN Legal business name | PRAIRIE ENDOSCOPY LLC | ||||
| Authorized official | JEFFREY DAVIS - (SOLE OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/13/2014 | ||||
| Last updated | 06/25/2014 - About 12 years ago | ||||
| Identifiers |
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PRAIRIE ENDOSCOPY LLC
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PRAIRIE ENDOSCOPY LLC