| Gastroenterology | |
|
1011 East Saint Maartens Dr St Joseph MO 64506 | |
| (816) 232-0185 | |
| (816) 364-6225 |
| Full Name | Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1011 East Saint Maartens Dr, St Joseph, Missouri |
| Authorized Official Name and Position | Priti P Patel (SECRETARY FOR THE CORPORATION) |
| Authorized Official Contact | 8162320185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology 1011 East Saint Maartens Dr St Joseph MO 64506 Ph: (816) 232-0185 | Gastroenterology 1011 East Saint Maartens Dr St Joseph MO 64506 Ph: (816) 232-0185 |
| NPI Number | 1386747749 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386747749 | NPI | - | NPPES |
| 508030004 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |