Organization
GASTROENTEROLOGISTS CONSULTANTS OF JASPER, PC
Active
Organization
GASTROENTEROLOGISTS CONSULTANTS OF JASPER, PC
Active
Other names
GASTROENTEROLOGISTS CONSULTANTS OF JASPER, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS R DAVILA M.D. (PRESIDENT)
(205) 295-9630
Entity
Organization
Contact information
Practice address
3400 HIGHWAY 78 E, MEDICAL ARTS TOWER SUITE 504, JASPER, AL 35501-8907
(205) 295-9630
(205) 296-9362
Mailing address
PO BOX 391, JASPER, AL 35502-0391
(205) 295-9630
(205) 295-9362
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25227
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051553611DAV
—
AL
01
—
515-15424
BSBC
AL
Enumeration date
04/01/2007
Last updated
11/19/2014
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