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CENTENNIAL MEDICAL GROUP, INC

Organization (NPI-2) Active

Urology

Provider Information

NPI Number
1225207152
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
2460 NW STEWART PARKWAY, SUITE 100, ROSEBURG, OR, 97471
Phone
(541) 677-6141
Fax
(541) 677-6143

Specialties & Taxonomies

Urology Primary License: OR #497634-93

All Addresses

MAILING

P.O. BOX 910

ROSEBURG, OR, 97470

(541) 677-6141

LOCATION

2460 NW STEWART PARKWAY, SUITE 100

ROSEBURG, OR, 97471

(541) 677-6141