Glenn Richard Gourley in Minneapolis - Pediatric Gastroenterology
Glenn Richard Gourley - NPI 1689606287
Glenn Richard Gourley is a Pediatric Gastroenterology in Minneapolis, Minnesota. Glenn Richard Gourley practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for Glenn Richard Gourley is 1689606287. The last update date is 2019-06-05.
Glenn Richard Gourley's current location address is Po Box 14909, Minneapolis, Minnesota. You can contact this provider via phone number 6128711145 and fax number 6128705491. The mailing address for Glenn Richard Gourley is Po Box 14909, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Glenn Richard Gourley |
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Address | Po Box 14909, Minneapolis, Minnesota |
Phone Number | 6128711145 |
Fax Number | 6128705491 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1689606287 |
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Provider Enumeration Date | 2006-07-06 |
Last Updated Date | 2019-06-05 |
Provider Mailing Address Detail
Address | Po Box 14909 |
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City | Minneapolis |
State | Minnesota (MN) |
Post Code | 554140909 |
Phone Number | 6128711145 |
Fax Number | 6128705491 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Gastroenterology |
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Taxonomy | 2080P0206X |
Licence No | 48367 |
Definition: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
29-00053 | MN | MEDICA PRIMARY | |
1046326 | MN | PREFERRED ONE | |
1511089 | IA | -- | |
730T5GO | MN | BCBS | |
182562 | MN | UCARE | |
29-00477 | MN | MEDICA CHOICE | |
29-00053 | MN | MEDICA CHOICE | |
220820200 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Glenn Richard Gourley by the Centers for Medicare & Medicaid Services?
The Glenn Richard Gourley has been issued the NPI (National Provider Identifier) 1689606287, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Glenn Richard Gourley's facilities are situated?
The facilities of Glenn Richard Gourley are physically located at the following address: Po Box 14909, Minneapolis, MN, 554140909.
What is Glenn Richard Gourley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Glenn Richard Gourley's area of specialization is Pediatric Gastroenterology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0206X.
When did the Glenn Richard Gourley receive its 1689606287?
The Glenn Richard Gourley was issued its 1689606287 on 2006-07-06, which is the date when the organization was assigned this unique identifier.
When was the information regarding Glenn Richard Gourley most recently updated?
The details pertaining to the Glenn Richard Gourley, including its address, specialty, and other relevant information, were last refreshed on 2019-06-05.