| Gaeta Gastroenterology Llc | |
|
465 S Mount Auburn Rd Suite 102 Cape Girardeau MO 63703-4926 | |
| (573) 388-3939 | |
| Not Available |
| Full Name | Gaeta Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 465 S Mount Auburn Rd, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Sarah Holt (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5733343074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaeta Gastroenterology Llc 60 Doctors Park Cape Girardeau MO 63703-4928 Ph: () - | Gaeta Gastroenterology Llc 465 S Mount Auburn Rd Suite 102 Cape Girardeau MO 63703-4926 Ph: (573) 388-3939 |
| NPI Number | 1790173243 |
|---|---|
| Provider Enumeration Date | 01/07/2015 |
| Last Update Date | 01/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790173243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | LC001429408 (Missouri) | Primary |
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