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63360 Britta St Ste 1 Bend OR 97703-9475 | |
(541) 322-7639 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 63360 Britta St Ste 1, Bend, Oregon |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 63360 Britta St Ste 1 Bend OR 97703-9475 Ph: (541) 322-7639 |
NPI Number | 1891450003 |
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Provider Enumeration Date | 11/02/2021 |
Last Update Date | 10/13/2022 |
Identifier | Type | State | Issuer |
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1891450003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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