NPI | 1184317356 |
---|---|
Doing Business As | SAMARITAN MEDICAL GROUP FAMILY MEDICINE - 26TH STREET |
Entity Type | Organization |
Authorized Contact | LAURA HENNUM CEO Gsrmc 541-768-5011 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-06-01 |
Last Update Date | 2023-06-01 |