Obsidian Urgent Care, Pc

NPI 1255498473 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1255498473
Enumeration Date 01/03/2007
Last Updated 09/04/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DANIEL J DANIEL
Position PRESIDENT
Phone (541) 962-7407
Fax (541) 962-7479
Practice Location
401 ADAMS AVE
LA GRANDE OR, 97850-1619, US
Phone (541) 962-7407
Fax (541) 962-7479
Business Location
401 ADAMS AVE
LA GRANDE OR, 97850-1619, US
Phone (541) 962-7407
Fax (541) 962-7479
Toxanomy
Taxonomy Code 363LF0000X
License State Oregon
License Number 200050027NP-FNP-PP
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According to our database, Obsidian Urgent Care, Pc NPI is 1255498473, taxonomy code is 363LF0000X and license number is 200050027NP-FNP-PP, license state is located at Oregon. Obsidian Urgent Care, Pc physically located at 401 Adams Ave, La Grande OR, 97850-1619. NPI Number 1033115704 has the healthcare provider type.

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1255498473 NPI number is provided on an as is basis without warranty of any kind. 1255498473 is maintained by the National Plan & Provider Enumeration System. The contents of Obsidian Urgent Care, Pc are for informational purposes only.