| NPI | 1619271756 |
|---|---|
| Doing Business As | ST. CHARLES ANTI-COAG CLINIC |
| Entity Type | Organization |
| Authorized Contact | KAREN M SHEPARD Sr VP Finance / CFO 541-706-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |