Organization
GASTRO INTESTINAL ASSOCIATES, INC
Active
Parent organization
GASTRO INTESTINAL ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTRO INTESTINAL ASSOCIATES, INC
Authorized official
DR. ROBERT L NEIDICH M.D. (MEDICAL DIRECTOR)
(419) 227-8209
Entity
Organization
Contact information
Practice address
139 GARAU ST, BLUFFTON, OH 45817-1027
(419) 227-8209
(419) 222-6007
Mailing address
2793 SHAWNEE RD, LIMA, OH 45806-1444
(419) 227-8209
(419) 222-6007
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361326
—
OH
Enumeration date
07/23/2012
Last updated
07/23/2012
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