Amop | |
455 W Corey Ct Roseburg OR 97470-3078 | |
(541) 440-1934 | |
(541) 440-1943 |
Full Name | Amop |
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Speciality | Family Medicine |
Location | 455 W Corey Ct, Roseburg, Oregon |
Authorized Official Name and Position | Donna Gail Eide (PRESIDENT) |
Authorized Official Contact | 15414401934 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Amop 455 W Corey Ct Roseburg OR 97470-3078 Ph: (541) 440-1934 | Amop 455 W Corey Ct Roseburg OR 97470-3078 Ph: (541) 440-1934 |
NPI Number | 1841487451 |
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Provider Enumeration Date | 09/27/2007 |
Last Update Date | 08/26/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841487451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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