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Organization
EAR NOSE AND THROAT ASSOCIATES OF GRANTS PASS PC
Active
Organization
EAR NOSE AND THROAT ASSOCIATES OF GRANTS PASS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE REECE (OFFICE MANAGER)
(541) 476-7775
Entity
Organization
Contact information
Practice address
1600 NW 6TH ST, SOUTH SUITE, GRANTS PASS, OR 97526-1094
(541) 476-7775
(541) 476-3572
Mailing address
1600 NW 6TH ST, SOUTH SUITE, GRANTS PASS, OR 97526-1094
(541) 476-7775
(541) 476-3572
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
DO20532
OR
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD10466
OR
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD19356
OR
Other
Enumeration date
03/07/2007
Last updated
04/24/2014
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