NPI | 1144668534 |
---|---|
Entity Type | Organization |
Authorized Contact | ELISA ANN PEAVEY Doctor Of Osteopathy 541-889-2229 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO161883) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2013-06-07 |