Driven Enterprises Pc | |
20700 Wandalea Dr Bend OR 97701-1594 | |
(435) 669-2930 | |
Not Available |
Full Name | Driven Enterprises Pc |
---|---|
Speciality | Family Medicine |
Location | 20700 Wandalea Dr, Bend, Oregon |
Authorized Official Name and Position | Lance Spencer Adams (PHYSICIAN) |
Authorized Official Contact | 4356692930 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Driven Enterprises Pc 20700 Wandalea Dr Bend OR 97701-1594 Ph: (435) 669-2930 | Driven Enterprises Pc 20700 Wandalea Dr Bend OR 97701-1594 Ph: (435) 669-2930 |
NPI Number | 1083252472 |
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Provider Enumeration Date | 12/16/2019 |
Last Update Date | 01/30/2020 |
Medicare PECOS PAC ID | 5193151249 |
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Medicare Enrollment ID | O20200207001716 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083252472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Lance Adams |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1477936862 PECOS PAC ID: 2769797703 Enrollment ID: I20181213002891 |
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