Centennial Medical Group North, LLC

NPI #1063722262 in Roseburg, Oregon

Provider Information

NPI Number
1063722262
Entity Type
Organization
Organization Name
Centennial Medical Group North, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CENTENNIAL MEDICAL GROUP, INC.
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Oct 21, 2010
Last Updated
May 16, 2012

Practice Location

Address
2801 NW MERCY DR STE 340
State
Oregon
ZIP Code
97471-2348
Phone
(541) 677-2494

Authorized Official

Name
RAHUL AGARWAL
Title
PRESIDENT
Phone
(541) 677-2494

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery - Orthopaedic Surgery of the SpineOrthopaedic Surgery of the Spine
Orthopaedic Surgery

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