Organization
GASTROENTEROLOGY CONSULTANTS OF GREATER CINCINNATI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN LAWRENCE PECK M.D. (VICE PRESIDENT)
(513) 794-5600
Entity
Organization
Contact information
Practice address
10600 MONTGOMERY RD, SUITE 200, CINCINNATI, OH 45242-4463
(513) 794-5600
(513) 281-1908
Mailing address
10600 MONTGOMERY RD, SUITE 200, CINCINNATI, OH 45242-4463
(513) 794-5600
(513) 281-1908
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0968412
—
OH
05
—
200010970A
—
IN
01
—
CB8043
MEDICARE RAILROAD
—
Enumeration date
06/11/2006
Last updated
08/11/2008
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