| NPI | 1669060505 |
|---|---|
| Doing Business As | SAMARITAN MEDICAL GROUP ENDOCRINOLOGY - NEWPORT |
| Entity Type | Organization |
| Authorized Contact | MARY ANN VANDERFORD Credentialing Manager 541-768-6765 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |