# PETER E. PALACIO, M.D., PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083054373
- **Authorized official:** DR. PETER E PALACIO M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (541) 323-3747

## Contact information

- **Practice address:** 2450 NE MARY ROSE PL, SUITE 220, BEND, OR 97701-7132
- **Practice address phone:** (541) 323-3747
- **Mailing address:** 2450 NE MARY ROSE PL, SUITE 220, BEND, OR 97701-7132
- **Mailing address phone:** (541) 323-3747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD23150 | OR | Yes |

## Other

- **Enumeration date:** 07/01/2013
- **Last updated:** 07/01/2013
