Providence Hospitalists & Intensivists

NPI 1063462232 - Internal Medicine - 207RC0200X

NPI Details
NPI 1063462232
Enumeration Date 05/11/2006
Last Updated 05/22/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL MICHAEL
Position CEO
Phone (541) 494-2035
Fax (541) 494-2002
Practice Location
1111 CRATER LAKE AVE
MEDFORD OR, 97504-6241, US
Phone (541) 494-2035
Fax (541) 494-2002
Business Location
1208 BEALL LN
CENTRAL POINT OR, 97502-1573, US
Phone (541) 664-5151
Fax (541) 664-5155
Toxanomy
Taxonomy Code 207RC0200X
License State
License Number
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According to our database, Providence Hospitalists & Intensivists NPI is 1063462232, taxonomy code is 207RC0200X Providence Hospitalists & Intensivists physically located at 1111 Crater Lake Ave, Medford OR, 97504-6241. NPI Number 1033115704 has the healthcare provider type.

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1063462232 NPI number is provided on an as is basis without warranty of any kind. 1063462232 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Hospitalists & Intensivists are for informational purposes only.