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Organization

GASTROENTROLOGY ASSOCIATES OF ALLIANCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON RARICK (BILLING MANAGER)
(330) 829-0951
Entity
Organization

Contact information

Practice address
1000 W STATE ST, SALEM, OH 44460-2019
(330) 337-7717
(330) 337-9195
Mailing address
1000 W STATE ST, SALEM, OH 44460-2019
(330) 337-7717
(330) 337-9195

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35084462
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2514363
OH
Enumeration date
07/22/2006
Last updated
08/22/2020
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