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1215979562
PHILLIP C. HISTAND
ALBANY, OR
NPI
1215979562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD16275)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
DR. PHILLIP C. HISTAND M.D.
1700 GEARY ST SE
ALBANY, OR 97322-6842
Phone number: 541-812-5500
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Mailing Address
DR. PHILLIP C. HISTAND M.D.
1700 GEARY ST SE
ALBANY, OR 97322-6842
Phone number: 541-812-5500
Copy
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