OrganizationActive
Center for Digestive & Liver Diseases, Inc.
NPI 1114102654 · Gastroenterology Physician · Mexico, MO
Provider details
- NPI number
- 1114102654
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glenn Gordon, President/Owner(573) 581-7196
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
714 Medical Park Dr
Mexico, MO 65265-3726
Phone: (573) 581-7196
Fax: (573) 581-3632
Approximate (ZIP-level) locationGet directions
Mailing address
714 Medical Park Dr
Mexico, MO 65265-3726
Registry dates
- Enumerated
- 2008-01-03
- Last updated
- 2008-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.