Philomath Family Medicine, P.c.

NPI 1003957911 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1003957911
Enumeration Date 02/12/2007
Last Updated 10/16/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNY KENNY
Position DIRECTOR OF OPERATIONS
Phone (541) 929-2922
Fax
Practice Location
1219 APPLEGATE
PHILOMATH OR, 97370, US
Phone (541) 929-2922
Fax
Business Location
5626 OBERLIN DR
SUITE 110
SAN DIEGO CA, 92121-1705, US
Phone (858) 625-2990
Fax
Toxanomy
Taxonomy Code 332900000X
License State Oregon
License Number MD10373
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According to our database, Philomath Family Medicine, P.c. NPI is 1003957911, taxonomy code is 332900000X and license number is MD10373, license state is located at Oregon. Philomath Family Medicine, P.c. physically located at 1219 Applegate, Philomath OR, 97370. NPI Number 1033115704 has the healthcare provider type.

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1003957911 NPI number is provided on an as is basis without warranty of any kind. 1003957911 is maintained by the National Plan & Provider Enumeration System. The contents of Philomath Family Medicine, P.c. are for informational purposes only.