MR. Stacy C. Berube, MD

NPI #1073599452 in Bend, Oregon

Provider Information

NPI Number: 1073599452
Entity Type: Individual
Name: MR. Stacy C. Berube, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Dec 19, 2005
Last Updated: Apr 9, 2009

Practice Location

Address: 2200 NE PROFESSIONAL CT
City: Bend
State: Oregon
ZIP Code: 97701-6063
Phone: (541) 389-6313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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