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Dr. JONATHAN BLAIR EDMISTON MD

Individual Provider (NPI-1) Active

Internal Medicine

Provider Information

NPI Number
1326537242
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
2500 NE NEFF RD, BEND, OR, 977016015
Phone
(541) 706-6892
Fax
(541) 706-6813

Specialties & Taxonomies

Emergency Medicine License: MA #289259
Student in an Organized Health Care Education/Training Program
Internal Medicine Primary License: MA #289259

All Addresses

LOCATION

2500 NE NEFF RD

BEND, OR, 977016015

(541) 706-6892

MAILING

1 BOSTON MEDICAL CTR PL

BOSTON, MA, 021182908