CHARLTON BRYAN MCNUTT

ROSEBURG, OR
NPI1144293648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  38225N3)
Enumeration Date2006-02-07
Last Update Date2012-09-10
Business Address
-- CHARLTON BRYAN MCNUTT ANP
150 KENNETH FORD DRIVE
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
Mailing Address
-- CHARLTON BRYAN MCNUTT ANP
150 KENNETH FORD DRIVE
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
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