Organization
NORTHSIDE GASTROENTEROLOGY, INC., PC
Active
Organization
NORTHSIDE GASTROENTEROLOGY, INC., PC
Active
Other names
Northside Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
GALINTON BRYAN (PRACTICE ADMIN)
(317) 872-7396
Entity
Organization
Contact information
Practice address
8424 NAAB RD, SUITE 3-J, INDIANAPOLIS, IN 46260
(317) 872-7396
(317) 879-8328
Mailing address
8424 NAAB RD, SUITE 3-J, INDIANAPOLIS, IN 46260-5918
(317) 872-7396
(317) 879-8328
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177420
—
IN
Enumeration date
08/23/2006
Last updated
02/08/2019
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