NPI | 1558776047 |
---|---|
Doing Business As | SAMARITAN FAMILY RESIDENT CLINIC-GEARY STREET |
Entity Type | Organization |
Authorized Contact | DAVID G. TRIEBES CEO 541-812-4102 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-06-24 |
Last Update Date | 2014-06-30 |