Organization
GASTROINTESTINAL SPECIALISTS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MORANCEY (OFFICE MANAGER)
(812) 882-2703
Entity
Organization
Contact information
Practice address
1813 WILLOW ST, SUITE 5 B, VINCENNES, IN 47591-4267
(812) 882-2703
(812) 882-2760
Mailing address
1813 WILLOW ST, SUITE 5 B, VINCENNES, IN 47591-4267
(812) 882-2703
(812) 882-2760
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02000873
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100156710A
—
IN
Enumeration date
06/07/2007
Last updated
07/01/2009
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