Jdj Gastro Pllc
NPI #1831956663 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1831956663
- Entity Type
- Organization
- Organization Name
- Jdj Gastro Pllc
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Feb 28, 2024
- Last Updated
- Mar 20, 2024
Practice Location
- Address
- 1915 S MAIN ST
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431-3353
- Phone
- (270) 344-5473
Authorized Official
- Name
- JOHN DACOSTA
- Title
- OWNER
- Phone
- (270) 344-5473
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Internal Medicine - Gastroenterology — Gastroenterology |
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