| Robert M Gentry | |
|
1585 Nw Washington Blvd Grants Pass OR 97526-1049 | |
| (541) 474-5511 | |
| Not Available |
| Full Name | Robert M Gentry |
|---|---|
| Speciality | Internal Medicine |
| Location | 1585 Nw Washington Blvd, Grants Pass, Oregon |
| Authorized Official Name and Position | Lisa A Wilson (OFFICE MGR) |
| Authorized Official Contact | 5414745511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert M Gentry 1585 Nw Washington Blvd Grants Pass OR 97526-1049 Ph: (541) 474-5511 | Robert M Gentry 1585 Nw Washington Blvd Grants Pass OR 97526-1049 Ph: (541) 474-5511 |
| NPI Number | 1568653285 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568653285 | NPI | - | NPPES |
| 043364 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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