MR. Clyde Terrence Bancroft, PA

NPI #1841397742 in Roseburg, Oregon

Provider Information

NPI Number
1841397742
Entity Type
Individual
Name
MR. Clyde Terrence Bancroft, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Sep 20, 2006
Last Updated
Feb 2, 2011

Practice Location

Address
2570 NW EDENBOWER BLVD
Address 2
SUITE 100
State
Oregon
ZIP Code
97471
Phone
(541) 677-7200

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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