Advanced Gastroenterology & Colon Cancer Screening Center LLC
NPI #1215359484 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1215359484
- Entity Type
- Organization
- Organization Name
- Advanced Gastroenterology & Colon Cancer Screening Center LLC
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Jan 7, 2014
- Last Updated
- Jan 7, 2014
Practice Location
- Address
- 763 S NEW BALLAS RD # 265
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63141-8704
- Phone
- (618) 207-0900
Authorized Official
- Name
- TARIK FIROZI, MD
- Title
- PRESIDENT
- Phone
- (618) 207-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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