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NORTHSIDE GASTROENTEROLOGY ENDOSCOPY CENTER LLC

Surgery Yellow Pages

Indianapolis, Indiana

Provider NPI: 1659344133

Organization Information:
Organization Name:  NORTHSIDE GASTROENTEROLOGY ENDOSCOPY CENTER LLC


Practice Location:
8424 NAAB RD SUITE 3-G INDIANAPOLIS, IN 46260 US
Tel: 317-871-7308  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
IN05-008902

Other Provider Identifiers:

IssuerNumberStateType
200119350AIN05
RAILROAD MEDICARE490003884IN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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