Corvallis Gastroenterology PC

NPI #1124075627 in Corvallis, Oregon

Provider Information

NPI Number: 1124075627
Entity Type: Organization
Organization Name: Corvallis Gastroenterology PC
Primary Specialty: Specialist
Enumeration Date: May 28, 2006
Last Updated: Oct 9, 2012

Practice Location

Address: 3521 NW SAMARITAN DR
Address 2: SUITE 101
City: Corvallis
State: Oregon
ZIP Code: 97330-4744
Phone: (541) 768-6119

Authorized Official

Name: SURINDER MOHAN VASDEV, MD
Title: PRESIDENT
Phone: (541) 768-6116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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