Bandon Family Medicine, LLC

NPI #1124215736 in Bandon, Oregon

Provider Information

NPI Number: 1124215736
Entity Type: Organization
Organization Name: Bandon Family Medicine, LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 27, 2007
Last Updated: Jul 9, 2009

Practice Location

Address: 475 ELMIRA AVE SE STE 201
City: Bandon
State: Oregon
ZIP Code: 97411-7409
Phone: (541) 329-1362

Authorized Official

Name: DR. MEGAN MARIE HOLLAND, M.D.
Title: SOLE MEMBER
Phone: (541) 329-1362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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