NPI | 1295738375 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRANCE FITZPATRICK Administrator 541-334-3350 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 393786) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2022-09-28 |