NPI Profile for PHYSICIANS MEDICAL CENTER P C in MCMINNVILLE, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI Number | 1376995175 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/06/2016 | |
| Last updated | 09/12/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PHYSICIANS MEDICAL CENTER, P C
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