CLYDE TERRENCE BANCROFT

ROSEBURG, OR
NPI1841397742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  pa00866)
Enumeration Date2006-09-20
Last Update Date2011-02-02
Business Address
Mr. CLYDE TERRENCE BANCROFT PA
2570 NW EDENBOWER BLVD SUITE 100
ROSEBURG, OR 97471
Phone number: 541-677-7200
Mailing Address
Mr. CLYDE TERRENCE BANCROFT PA
2570 NW EDENBOWER BLVD SUITE 100
ROSEBURG, OR 97471
Phone number: 541-677-7200
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