Kidsdocs PC

NPI #1134136013 in Roseburg, Oregon

Provider Information

NPI Number: 1134136013
Entity Type: Organization
Organization Name: Kidsdocs PC
Primary Specialty: Pediatrics
Enumeration Date: Aug 2, 2006
Last Updated: Nov 4, 2016

Practice Location

Address: 201 NW MEDICAL LOOP
Address 2: #170
City: Roseburg
State: Oregon
ZIP Code: 97471-8821
Phone: (541) 957-5437

Authorized Official

Name: JACQUELYN OUTCALT GROSHONG, MD
Title: PRESIDENT
Phone: (541) 957-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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