MEDICARE: GI ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1932239506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GI ASSOCIATES

Provider Business Mailing Address
First Line	:	10833 DONNER PASS RD STE 101
Second Line	:
City	:	TRUCKEE
State	:	CA
Zip	:	96161-4850
Country	:	US
Telephone Number	:	530-582-8535
Fax Number	:	530-582-8841

Provider Business Practice Location Address
First Line	:	10833 DONNER PASS RD STE 202
Second Line	:
City	:	TRUCKEE
State	:	CA
Zip	:	96161-4851
Country	:	US
Telephone Number	:	530-582-8535
Fax Number	:	530-582-8841

Authorized Official
Title or Position	:	BUSNIESS MANAGER
Name	:	MS. EMILY LINN HOAG
Credential	:
Telephone Number	:	530-582-8535

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	06/20/2008

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Directions to “GI ASSOCIATES ” Practice Location

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