Organization
ADVANCED GASTROENTEROLOGY, LLC
Active
Organization
ADVANCED GASTROENTEROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD SANDY D.O. (PHYSICIAN)
(812) 885-8770
Entity
Organization
Contact information
Practice address
520 S 7TH ST STE SB406, VINCENNES, IN 47591-1038
(812) 885-8770
(812) 885-8771
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/13/2009
Last updated
11/05/2020
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