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Organization
NORTHSIDE GASTROENTEROLOGY ENDOSCOPY CENTER LLC
Active
Organization
NORTHSIDE GASTROENTEROLOGY ENDOSCOPY CENTER LLC
Active
Other names
Northside Gastroenterology Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
8424 NAAB RD, SUITE 3-G, INDIANAPOLIS, IN 46260-5918
(317) 871-7308
(317) 871-7314
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(317) 871-7308
(317) 871-7314
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
05-008902
IN
Other
Enumeration date
02/07/2006
Last updated
04/22/2022
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