CENTENNIAL MEDICAL GROUP, INC

ROSEBURG, OR
NPI1225207152
Entity TypeOrganization
Authorized ContactJASON GRAY
President
541-677-2494
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: OR  497634-93)
Enumeration Date2008-02-25
Last Update Date2012-04-04
Business Address
CENTENNIAL MEDICAL GROUP, INC
2460 NW STEWART PARKWAY, SUITE 100
ROSEBURG, OR 97471
Phone number: 541-677-6141
Mailing Address
CENTENNIAL MEDICAL GROUP, INC
P.O. BOX 910
ROSEBURG, OR 97470
Phone number: 541-677-6141
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