# GASTROENTEROLOGY SPECIALTIES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083747380
- **Authorized official:** DR. MARK G GRIFFIN MD (BOARD PRESIDENT)
- **Authorized official phone:** (402) 465-4545

## Contact information

- **Practice address:** 4545 R ST, LINCOLN, NE 68503-3799
- **Practice address phone:** (402) 465-4545
- **Practice address fax:** (402) 465-3621
- **Mailing address:** 4545 R ST, LINCOLN, NE 68503-3799
- **Mailing address phone:** (402) 465-4545
- **Mailing address fax:** (402) 465-3621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 001-005685907 | NE | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 04/28/2021