OrganizationActive
Advanced Gastroenterology & Colon Cancer Screening Center LLC
NPI 1215359484 · Gastroenterology Physician · Saint Louis, MO
Provider details
- NPI number
- 1215359484
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tarik Firozi, President(618) 207-0900
- License
- 2008030945 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
763 S New Ballas Rd # 265
Saint Louis, MO 63141-8704
Phone: (618) 207-0900
Approximate (ZIP-level) locationGet directions
Mailing address
14803 Straub Hill Ln
Chesterfield, MO 63017-7965
Registry dates
- Enumerated
- 2014-01-07
- Last updated
- 2014-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.