Brian John Mateja D.O.

NPI 1063417772 - Family Medicine - 207Q00000X

NPI Details
NPI 1063417772
Gender Male
Enumeration Date 06/17/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
509 E MAIN ST
ROGUE RIVER OR, 97537-9674, US
Phone (541) 582-0505
Fax (541) 582-0778
Business Location
509 E MAIN ST
ROGUE RIVER OR, 97537-9674, US
Phone (541) 582-0505
Fax (541) 582-0778
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number DO25705
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According to our database, Brian John Mateja D.O. NPI is 1063417772, taxonomy code is 207Q00000X and license number is DO25705, license state is located at Oregon. Brian John Mateja D.O. physically located at 509 E Main St, Rogue River OR, 97537-9674. NPI Number Brian John Mateja D.O. has the Individual type.

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1063417772 NPI number is provided on an as is basis without warranty of any kind. 1063417772 is maintained by the National Plan & Provider Enumeration System. The contents of Brian John Mateja D.O. are for informational purposes only.