| NPI | 1942529565 |
|---|---|
| Doing Business As | MOUNTAIN SAGE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | THOMAS FITZPATRICK Sole Member 541-573-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD16856) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |