NPI | 1982008975 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT T. QUAVE Owner / Physician 541-227-8697 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR MD157375) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2014-10-20 |