MATTHEW ALLYN FAGERT

GRANTS PASS, OR
NPI1265561377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  200540820)
Enumeration Date2007-03-05
Last Update Date2013-06-18
Business Address
-- MATTHEW ALLYN FAGERT CRNA
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Phone number: 541-472-7000
Mailing Address
-- MATTHEW ALLYN FAGERT CRNA
2620 EAST BARNETT RD SUITE H
MEDFORD, OR 97504
Phone number: 541-789-5250
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