| NPI | 1225042575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H COBB Manager 541-431-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 1524) |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-06-29 |