| Neurology Of Bend Llc | |
|
2421 Ne Doctors Dr Bend OR 97701-6031 | |
| (541) 388-3311 | |
| (541) 389-1887 |
| Full Name | Neurology Of Bend Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2421 Ne Doctors Dr, Bend, Oregon |
| Authorized Official Name and Position | Gary David Buchholz (MEMBER) |
| Authorized Official Contact | 5413883311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Of Bend Llc 2421 Ne Doctors Dr Bend OR 97701-6031 Ph: (541) 388-3311 | Neurology Of Bend Llc 2421 Ne Doctors Dr Bend OR 97701-6031 Ph: (541) 388-3311 |
| NPI Number | 1649314253 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 12/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649314253 | NPI | - | NPPES |
| 213485 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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