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1831136829
WILLIE UNDERWOOD
BEND, OR
NPI
1831136829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: OR MD214003)
Additional Taxonomies
208800000X Urology
(Licence: NY 250131)
Enumeration Date
2006-05-31
Last Update Date
2022-12-21
Business Address
WILLIE UNDERWOOD MD
1247 NE MEDICAL CENTER DR STE C
BEND, OR 97701-3786
Phone number: 541-322-5753
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Mailing Address
WILLIE UNDERWOOD MD
PO BOX 1517
PENDLETON, OR 97801-0410
Phone number: 877-708-1119
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