Commonwealth Gastroenterology Associates, Pllc

NPI #1285707885 in Lexington, Kentucky

Provider Information

NPI Number
1285707885
Entity Type
Organization
Organization Name
Commonwealth Gastroenterology Associates, Pllc
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Nov 15, 2006
Last Updated
May 5, 2008

Practice Location

Address
177 BURT RD
Address 2
BURT ROAD MEDICAL CLINIC
ZIP Code
40503-2410
Phone
(859) 967-2055

Authorized Official

Name
MR. BRYAN KELLER STADIG, MBA, CMPE
Title
ADMINISTRATOR
Phone
(859) 967-2055

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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