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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI Number | 1821014473 |
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| LBN Legal business name | MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC-METAIRIE | ||||
| Authorized official | CHRISTOPHER HOLDEN - (CHIEF MANAGER OF LLC) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/15/2006 | ||||
| Last updated | 09/28/2007 - About 19 years ago | ||||
| Identifiers |
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MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC-METAIRIE