OBSIDIAN URGENT CARE, PC

LA GRANDE, OR
NPI1255498473
Entity TypeOrganization
Authorized ContactDANIEL J LEONE
President
541-962-7407
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  087000017N1 FNP-PP)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: OR  200050027NP-FNP-PP)
Enumeration Date2007-01-03
Last Update Date2008-09-04
Business Address
OBSIDIAN URGENT CARE, PC
401 ADAMS AVE
LA GRANDE, OR 97850-1619
Phone number: 541-962-7407
Mailing Address
OBSIDIAN URGENT CARE, PC
401 ADAMS AVE
LA GRANDE, OR 97850-1619
Phone number: 541-962-7407