| NPI | 1730308529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERIC J VAN DIS President 541-677-6521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD12356) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-10-30 |