| Mountain Sage Medical | |
|
229 N Egan Ave Burns OR 97720-1741 | |
| (541) 573-7988 | |
| (888) 371-1993 |
| Full Name | Mountain Sage Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 229 N Egan Ave, Burns, Oregon |
| Authorized Official Name and Position | Thomas Fitzpatrick (SOLE MEMBER) |
| Authorized Official Contact | 5415737988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Sage Medical 229 N Egan Ave Burns OR 97720-1741 Ph: (541) 573-7988 | Mountain Sage Medical 229 N Egan Ave Burns OR 97720-1741 Ph: (541) 573-7988 |
| NPI Number | 1942529565 |
|---|---|
| Provider Enumeration Date | 05/21/2010 |
| Last Update Date | 05/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942529565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD16856 (Oregon) | Primary |
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