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Organization
SALLY SUZANNE MARIE MD
Active
Organization
SALLY SUZANNE MARIE MD
Active
Other names
Sally Suzanne Marie MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY SUZANNE MARIE MD (OWNER/PHYSICIAN)
(541) 654-4175
Entity
Organization
Contact information
Practice address
1755 COBURG RD STE 5, EUGENE, OR 97401-4982
(541) 654-4175
Mailing address
1755 COBURG RD STE 5, EUGENE, OR 97401-4982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14482
OR
Other
Enumeration date
05/16/2008
Last updated
11/23/2011
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