Bruce D. Carlson

NPI 1376608901 - Clinic/Center - 261QR1300X

NPI Details
NPI 1376608901
Enumeration Date 12/26/2006
Last Updated 02/11/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CINDY CINDY
Position OFFICE MANAGER
Phone (541) 384-2061
Fax
Practice Location
422 N MAIN
CONDON OR, 97823-0705, US
Phone (541) 384-2061
Fax
Business Location
PO BOX 705
CONDON OR, 97823-0705, US
Phone (541) 384-2061
Fax
Toxanomy
Taxonomy Code 261QR1300X
License State
License Number
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According to our database, Bruce D. Carlson NPI is 1376608901, taxonomy code is 261QR1300X Bruce D. Carlson physically located at 422 N Main, Condon OR, 97823-0705. NPI Number 1033115704 has the healthcare provider type.

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1376608901 NPI number is provided on an as is basis without warranty of any kind. 1376608901 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce D. Carlson are for informational purposes only.