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Organization
GASTRO INTESTINAL ASSOCIATES, INC
Active
Organization
GASTRO INTESTINAL ASSOCIATES, INC
Active
Parent organization
GASTRO INTESTINAL ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTRO INTESTINAL ASSOCIATES, INC
Authorized official
DR. ROBERT L NEIDICH M.D. (MEDICAL DIRECTOR)
(419) 227-8209
Entity
Organization
Contact information
Practice address
139 GARAU ST, BLUFFTON, OH 45817-1027
(419) 227-8209
(419) 222-6007
Mailing address
2793 SHAWNEE RD, LIMA, OH 45806-1444
(419) 227-8209
(419) 222-6007
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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