MR. Glen Marvin Intermill, CRNFA
NPI #1992877963 in Eagle Point, Oregon
Provider Information
- NPI Number
- 1992877963
- Entity Type
- Individual
- Name
- MR. Glen Marvin Intermill, CRNFA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - Registered Nurse First Assistant
- Credential
- CRNFA
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1222 CRAIGLEA DR
- City
- Eagle Point
- State
- Oregon
- ZIP Code
- 97524-9617
- Phone
- (541) 535-3820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Registered Nurse First Assistant — Registered Nurse First Assistant |
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