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Organization
ALDER MEDICAL CENTER PC
Active
Organization
ALDER MEDICAL CENTER PC
Active
Other names
Alder Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HOUGH LOWTHER MD (PRESIDENT)
(541) 469-5919
Entity
Organization
Contact information
Practice address
412 ALDER ST, BROOKINGS, OR 97415-9014
(541) 469-5919
(541) 469-6710
Mailing address
PO BOX 5750, BROOKINGS, OR 97415-0125
(541) 469-5919
(541) 469-6710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22599
OR
Other
Enumeration date
10/13/2005
Last updated
08/22/2020
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