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Organization
ADVANCED VASCULAR CENTERS EUGENE LLC
Active
Organization
ADVANCED VASCULAR CENTERS EUGENE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T MCGLADE MD (PRESIDENT)
(503) 683-7730
Entity
Organization
Contact information
Practice address
1200 GATEWAY LOOP, SPRINGFIELD, OR 97477-1176
(503) 683-7730
Mailing address
1200 GATEWAY LOOP, SPRINGFIELD, OR 97477-1176
(503) 683-7730
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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