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Organization
ASC GI DIAGNOSTIC CENTER, LLC
Active
Organization
ASC GI DIAGNOSTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN B. ARCHER MD (MEDICAL DIRECTOR)
(541) 322-5753
Entity
Organization
Contact information
Practice address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 322-5753
(541) 749-2130
Mailing address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 322-5753
(541) 749-2130
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
071580
OR
Other
Enumeration date
06/30/2006
Last updated
05/24/2011
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