Clinical Gastroenterology Inc | |
3722 Dressler Rd Nw Canton OH 44718 | |
(330) 479-9000 | |
(330) 477-5805 |
Full Name | Clinical Gastroenterology Inc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 3722 Dressler Rd Nw, Canton, Ohio |
Authorized Official Name and Position | Richard Kirk Elliott (PRESIDENT) |
Authorized Official Contact | 3304799000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clinical Gastroenterology Inc 3722 Dressler Rd Nw Canton OH 44718 Ph: (330) 479-9000 | Clinical Gastroenterology Inc 3722 Dressler Rd Nw Canton OH 44718 Ph: (330) 479-9000 |
NPI Number | 1376569293 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376569293 | NPI | - | NPPES |
0636771 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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