Centennial Medical Group West, LLC
NPI #1063710192 in Roseburg, Oregon
Provider Information
- NPI Number
- 1063710192
- Entity Type
- Organization
- Organization Name
- Centennial Medical Group West, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTENNIAL MEDICAL GROUP, INC.
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Mar 15, 2011
- Last Updated
- Mar 15, 2011
Practice Location
Authorized Official
- Name
- RAHUL AGARWAL
- Title
- PRESIDENT
- Phone
- (541) 677-2494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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