Organization
ADVANCED GASTROENTEROLOGY & COLON CANCER SCREENING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIK FIROZI MD (PRESIDENT)
(618) 207-0900
Entity
Organization
Contact information
Practice address
763 S NEW BALLAS RD # 265, SAINT LOUIS, MO 63141-8704
(618) 207-0900
Mailing address
14803 STRAUB HILL LN, CHESTERFIELD, MO 63017-7965
(618) 207-0900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2008030945
MO
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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