Organization · Type 2 NPI
Souder Gastro
Endoscopy Clinic/Center · Medina, TN
NPI number
1174356489
Active
Practice location
150 Friendship Rd
Medina, TN 38355-8666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Endoscopy Clinic/Center Primary | 261QE0800X | None listed |
Endoscopy Clinic/Center: Definition to come...
About NPI 1174356489
Souder Gastro's National Provider Identifier is 1174356489, issued on Aug 22, 2024. The primary taxonomy on file is Endoscopy Clinic/Center (261QE0800X), and the practice location is in Medina, TN. The record was last updated on Aug 22, 2024.