| NPI | 1316122708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD W ENGSTROM Owner 541-673-3447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OR MD15315) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |