NPI 1487953311

University Pediatric Gastroenterology, LLC

Organisation Pediatric Gastroenterology Physician Bowling Green, KY

Practice location

Address: 720 2nd St STE 102, Bowling Green, KY 42101-1778
Phone: (502) 852-7670
Fax: (502) 852-7743
Mailing address: PO Box 2469, Louisville, KY 40201-2469

Authorised official

Name: Gerard P Rabalais
Title: Chairman
Phone: (502) 852-8600

Registered specialties (2)

Pediatric Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0206X

Other Pediatrics providers in Kentucky →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Registry record

NPI: 1487953311
Entity type: Organization
NPI issued: 17 Mar 2011
Record last updated: 5 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.