Mavie LLC

NPI #1366270365 in La Pine, Oregon

Provider Information

NPI Number: 1366270365
Entity Type: Organization
Organization Name: Mavie LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 23, 2024
Last Updated: Oct 14, 2024

Practice Location

Address: 1220 YOKE RD
City: La Pine
State: Oregon
ZIP Code: 97739-8981
Phone: (864) 905-7900

Authorized Official

Name: RAVIKUMAR PATEL, DO
Title: PARTNER
Phone: (864) 905-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Family Medicine	207Q00000X	Primary

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