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Organization

FOOTHILLS GASTROENTEROLOGY MEDICAL ASSOCIATES INC

Active
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Organization

FOOTHILLS GASTROENTEROLOGY MEDICAL ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE FERENCZI MD (PRESIDENT)
(626) 914-1182
Entity
Organization

Contact information

Practice address
210 S GRAND AVE, SUITE 415, GLENDORA, CA 91741-4292
(626) 914-1182
(626) 914-1182
Mailing address
210 S GRAND AVE, SUITE 415, GLENDORA, CA 91741-4292
(626) 914-1182
(626) 914-9713

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0066870
CA
Enumeration date
12/01/2006
Last updated
01/20/2010
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