Southwest Gastroenterology, Llc in Joplin - Gastroenterology
Southwest Gastroenterology, Llc - NPI 1679686182
Southwest Gastroenterology, Llc is a Gastroenterology in Joplin, Missouri. Southwest Gastroenterology, Llc practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Southwest Gastroenterology, Llc is 1679686182. The last update date is 2020-08-22.
Southwest Gastroenterology, Llc's current location address is 2817 Mc Clelland Blvd, Joplin, Missouri. You can contact this provider via phone number 4172064928 and fax number 4172064734. The mailing address for Southwest Gastroenterology, Llc is 2817 Mc Clelland Blvd, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest Gastroenterology, Llc |
|---|---|
| Address | 2817 Mc Clelland Blvd, Joplin, Missouri |
| Phone Number | 4172064928 |
| Fax Number | 4172064734 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wu Xujun |
| Credentials | M.D. |
| Telephone Number | 3304093337 |
NPI Number Detail
| NPI Number | 1679686182 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2817 Mc Clelland Blvd |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648041629 |
| Phone Number | 4172064928 |
| Fax Number | 4172064734 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 2006024391 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2006024391 | MO | STATE OF MO LICENSE | |
| 2514363 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southwest Gastroenterology, Llc by the Centers for Medicare & Medicaid Services?
The Southwest Gastroenterology, Llc has been assigned the NPI (National Provider Identifier) 1679686182 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Southwest Gastroenterology, Llc is located?
The Southwest Gastroenterology, Llc is situated at the following address: 2817 Mc Clelland Blvd, Joplin, MO, 648041629.
What is the area of specialization for Southwest Gastroenterology, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southwest Gastroenterology, Llc is Gastroenterology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rg0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679686182 to Southwest Gastroenterology, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1679686182 to Southwest Gastroenterology, Llc on 2006-08-17.
As of what date were the details related to Southwest Gastroenterology, Llc most recently updated or revised?
The information pertaining to Southwest Gastroenterology, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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