| NPI | 1336198159 |
|---|---|
| Doing Business As | GOOD SHEPHERD MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JAN PETER Chief Financial Officer 541-667-3416 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-07-29 |