Organization
ARIZONA GASTROENTEROLOGY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALJIT SINGH BAL M.D. (PRESIDENT)
(623) 773-1161
Entity
Organization
Contact information
Practice address
14155 N 83RD AVE STE 122, PEORIA, AZ 85381-5640
(623) 773-1161
(623) 773-1181
Mailing address
14155 N 83RD AVE STE 122, PEORIA, AZ 85381-5640
(623) 773-1161
(623) 773-1181
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
27357
AZ
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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