Organization Name: | GREAT FALLS GASTROENTEROLOGY, LLC |
NPI Number: | 1740493808 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD D SPENCER (OWNER) |
Mailing Address: | 1300 28th St S Suite 3 Great Falls |
State: | MT US |
Postal Code: | 594055296 |
Phone Number: | 4064555870 |
Fax Number: | 4067318079 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 06/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 5199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |