Benbrook Gastroenterology Assoc. | |
104 Technology Dr Suite 202 Butler PA 16001-1801 | |
(724) 482-6062 | |
(724) 482-6117 |
Full Name | Benbrook Gastroenterology Assoc. |
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Speciality | Internal Medicine - Gastroenterology |
Location | 104 Technology Dr, Butler, Pennsylvania |
Authorized Official Name and Position | Donald A Walters (OWNER) |
Authorized Official Contact | 7244826062 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Benbrook Gastroenterology Assoc. 104 Technology Dr Suite 202 Butler PA 16001-1801 Ph: (724) 482-6062 | Benbrook Gastroenterology Assoc. 104 Technology Dr Suite 202 Butler PA 16001-1801 Ph: (724) 482-6062 |
NPI Number | 1790073567 |
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Provider Enumeration Date | 07/14/2011 |
Last Update Date | 07/14/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790073567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | OS007169L (Pennsylvania) | Primary |
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