Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gastroenterology Clinic, a Professional Medical Corporation

Organization Gastroenterology Physician · NPI 1366442642

Gastroenterology Clinic, a Professional Medical Corporation is a Gastroenterology Physician in Monroe, Louisiana. Licensed in Louisiana. Registered with an NPI since 2005.

Licensed in
LA
In the registry since
2005

Practice location Address checks out

611 Grammont St
Monroe, LA 71201-7516
Phone: (318) 325-2634
Fax: (318) 812-1205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X (LA)

Record details

NPI number1366442642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Waldo — Administrator · (318) 325-2634
NPI enumeratedJuly 28, 2005
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address611 Grammont St, Monroe, LA 71201-7516

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