Jay N. Gade M.d., Phd., PC

NPI #1841439312 in Roseburg, Oregon

Provider Information

NPI Number: 1841439312
Entity Type: Organization
Organization Name: Jay N. Gade M.d., Phd., PC
Primary Specialty: Specialist
Enumeration Date: Feb 6, 2009
Last Updated: Jul 27, 2011

Practice Location

Address: 2440 NW EDENBOWER BLVD.
City: Roseburg
State: Oregon
ZIP Code: 97471-6220
Phone: (541) 957-1141

Authorized Official

Name: JAY N GADE, M.D., PHD.
Title: OWNER
Phone: (541) 957-1141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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