NPI | 1124333489 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD A CARPENTER President/Owner 541-567-1750 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2010-08-11 |
Last Update Date | 2010-08-11 |