Gorge Bone Density Testing

NPI 1417005455 - Internal Medicine - 207RI0200X

NPI Details
NPI 1417005455
Enumeration Date 01/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THOMAS A THOMAS
Position OPERATING MANAGER
Phone (509) 493-1467
Fax (509) 493-3765
Practice Location
1825 E 19TH ST
SUITE 3
THE DALLES OR, 97058-3365, US
Phone (509) 493-1467
Fax (509) 493-3765
Business Location
1825 E 19TH ST
SUITE 3
THE DALLES OR, 97058-3365, US
Phone (509) 493-1467
Fax (509) 493-3765
Toxanomy
Taxonomy Code 207RI0200X
License State Oregon
License Number MD17839
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According to our database, Gorge Bone Density Testing NPI is 1417005455, taxonomy code is 207RI0200X and license number is MD17839, license state is located at Oregon. Gorge Bone Density Testing physically located at 1825 E 19th St, The Dalles OR, 97058-3365. NPI Number 1033115704 has the healthcare provider type.

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1417005455 NPI number is provided on an as is basis without warranty of any kind. 1417005455 is maintained by the National Plan & Provider Enumeration System. The contents of Gorge Bone Density Testing are for informational purposes only.