NPI 1649539255 · live from the CMS NPI Registry
Arizona Gastroenterology Clinic LLC
Internal Medicine, Gastroenterology in Peoria, AZ. National Provider Identifier 1649539255, active.
NPI record
| NPI | 1649539255 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 14155 N 83rd Ave Ste 122, Peoria, AZ 85381 |
| Practice phone | 623-773-1161 |
| Enumerated | May 16, 2012 |
| Last updated | May 16, 2012 |
| Authorized official | Daljit Bal, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 27357 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.