| Gastrointestinal Assoc A Medical Group Inc | |
|
555 E Tachevah Dr Suite #1e-104 Palm Springs CA 92262-5750 | |
| (760) 325-7601 | |
| (760) 325-4281 |
| Full Name | Gastrointestinal Assoc A Medical Group Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 555 E Tachevah Dr, Palm Springs, California |
| Authorized Official Name and Position | Brian M Cleary (OWNER) |
| Authorized Official Contact | 7603257601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrointestinal Assoc A Medical Group Inc 555 E Tachevah Dr #1e-104 Palm Springs CA 92262-5750 Ph: () - | Gastrointestinal Assoc A Medical Group Inc 555 E Tachevah Dr Suite #1e-104 Palm Springs CA 92262-5750 Ph: (760) 325-7601 |
| NPI Number | 1023102969 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023102969 | NPI | - | NPPES |
| ZZZ89111Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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