| Gastroenterology Associates Pllc | |
|
10505 E 91st St Suite 200 Tulsa OK 74133-5803 | |
| (918) 307-3144 | |
| (918) 307-3145 |
| Full Name | Gastroenterology Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10505 E 91st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Eric Cottrill (OWNER) |
| Authorized Official Contact | 9183073144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Pllc Po Box 700930 Tulsa OK 74170-0930 Ph: (918) 307-3144 | Gastroenterology Associates Pllc 10505 E 91st St Suite 200 Tulsa OK 74133-5803 Ph: (918) 307-3144 |
| NPI Number | 1104152016 |
|---|---|
| Provider Enumeration Date | 10/28/2009 |
| Last Update Date | 01/05/2010 |
| Medicare PECOS PAC ID | 1557401510 |
|---|---|
| Medicare Enrollment ID | O20091223000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104152016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Eric L Cottrill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659368850 PECOS PAC ID: 2668451360 Enrollment ID: I20091208000387 |
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