Organization
GASTROENTEROLOGY ASSOCIATES ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2179 COURT ST, REDDING, CA 96001-2531
(630) 246-7000
Mailing address
1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
(615) 665-1283
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
230000273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6879030
—
CA
Enumeration date
06/16/2005
Last updated
06/27/2022
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