CENTENNIAL MEDICAL GROUP WEST, LLC

Physician Assistant - Surgical

Active Organization
NPI: 1063710192

Practice Address

2700 NW STEWART PKWY
Roseburg, OR 97471

Phone: (541) 677-2494

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X Yes -

Frequently Asked Questions

NPI 1063710192 is the National Provider Identifier for CENTENNIAL MEDICAL GROUP WEST, LLC, a Physician Assistant - Surgical provider located in Roseburg, OR. This NPI was enumerated on March 15, 2011.

Quick Facts

NPI
1063710192
Type
Organization
Enumerated
Mar 15, 2011
Last Updated
Mar 15, 2011

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