FREDERIC J VAN DIS

ROSEBURG, OR
NPI1093786261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
(Licence: OR  MD12356)
Enumeration Date2006-01-27
Last Update Date2020-05-26
Business Address
FREDERIC J VAN DIS MD
2801 NW MERCY DR STE. 300
ROSEBURG, OR 97471
Phone number: 541-677-1555
Mailing Address
FREDERIC J VAN DIS MD
201 NW MEDICAL LOOP STE 190
ROSEBURG, OR 97471-8835
Phone number: 541-677-4319
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