| NPI | 1962911347 |
|---|---|
| Other Name | BEND KIDS PERSONAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER BROOKE WARTON Member 541-213-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR DO150927) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-07-21 |