JACK EDWARD BERNDT

COOS BAY, OR
NPI1952663528
Entity TypeOrganization
Authorized ContactJACK BERNDT
Owner
541-808-2392
Organization Subpart ?No
Primary Taxonomy208VP0000X Pain Medicine, Pain Medicine
Enumeration Date2012-06-11
Last Update Date2012-06-11
Business Address
JACK EDWARD BERNDT
1957 THOMPSON RD STE. F
COOS BAY, OR 97420-2031
Phone number: 541-808-2392
Mailing Address
JACK EDWARD BERNDT
1957 THOMPSON RD STE. F
COOS BAY, OR 97420-2031
Phone number: 541-808-2392