University Pediatric Gastroenterology, LLC

NPI #1679840961 in Lexington, Kentucky

Provider Information

NPI Number
1679840961
Entity Type
Organization
Organization Name
University Pediatric Gastroenterology, LLC
Primary Specialty
Pediatrics - Pediatric Gastroenterology
Enumeration Date
Nov 30, 2011
Last Updated
Nov 30, 2011

Practice Location

Address
740 S LIMESTONE
ZIP Code
40536-0001
Phone
(859) 323-6211

Authorized Official

Name
DR. GERARD P. RABALAIS, MD
Title
CHAIRMAN
Phone
(502) 852-8600

Specialties & Taxonomy Codes

Specialty
Pediatrics - Pediatric GastroenterologyPediatric Gastroenterology

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