| NPI | 1750414330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L. KINTIGH Business Office Manager 541-484-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: OR MD12018) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |