Gorge Urology Pc

NPI 1487823944 - Urology - 208800000X

NPI Details
NPI 1487823944
Enumeration Date 02/28/2008
Last Updated 02/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GARY A GARY
Position OWNER
Phone (541) 296-2201
Fax (541) 296-1237
Practice Location
1805 E 19TH ST
THE DALLES OR, 97058-3365, US
Phone (541) 296-2201
Fax (541) 296-1237
Business Location
1805 E 19TH ST
THE DALLES OR, 97058-3365, US
Phone (541) 296-2201
Fax (541) 296-1237
Toxanomy
Taxonomy Code 208800000X
License State
License Number
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According to our database, Gorge Urology Pc NPI is 1487823944, taxonomy code is 208800000X Gorge Urology Pc physically located at 1805 E 19th St, The Dalles OR, 97058-3365. NPI Number 1033115704 has the healthcare provider type.

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1487823944 NPI number is provided on an as is basis without warranty of any kind. 1487823944 is maintained by the National Plan & Provider Enumeration System. The contents of Gorge Urology Pc are for informational purposes only.