| Organization Name: | ROCKFORD DIGESTIVE HEALTH ENDOSCOPY CENTER |
| NPI Number: | 1013377290 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLENN STEVEN PFITZNER (MD) |
| Mailing Address: | 951 Rockford St Suite B Mount Airy |
| State: | NC US |
| Postal Code: | 270305323 |
| Phone Number: | 3367197993 |
| Fax Number: | 3367196550 |
| NPI Enumeration Date: | 03/01/2016 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | 215236 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |