| NPI | 1114396199 |
|---|---|
| Former Legal Business Name | SPRINGFIELD FAMILY PHYSICIANS, LLP |
| Other Name | CENTENNIAL SFP |
| Doing Business As | CENTENNIAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK STANLEY MEYERS Partner/ Officer 541-747-4300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2021-03-31 |