Provider Demographics
NPI:1417025057
Name:GASTROENTEROLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:GASTROENTEROLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:B
Authorized Official - Last Name:MERIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-795-4155
Mailing Address - Street 1:1601 N. TUCSON BLVD STE #14A
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3425
Mailing Address - Country:US
Mailing Address - Phone:520-795-4155
Mailing Address - Fax:520-795-0909
Practice Address - Street 1:1601 N. TUCSON BLVD STE #14A
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3425
Practice Address - Country:US
Practice Address - Phone:520-795-4155
Practice Address - Fax:520-795-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZWCMBQMedicare ID - Type Unspecified