| |
384 Se Combs Flat Rd, Prineville, OR 97754-2562 | |
(541) 383-3668 | |
(541) 383-4546 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 384 Se Combs Flat Rd, Prineville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477312288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1506 Ne Williamson Blvd, Bend, OR 97701-6071 Ph: (541) 383-3668 | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 Ph: (541) 383-3668 |