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Organization
MT. EMILY MEDICAL ASSOCIATES, LLC
Active
Organization
MT. EMILY MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGIL HILARN DUVERNAY MD, PHD, FACP (CHIEF EXECUTIVE OFFICER)
(541) 805-9831
Entity
Organization
Contact information
Practice address
204 3RD ST, LA GRANDE, OR 97850-1946
(541) 605-0330
(541) 605-0330
Mailing address
204 3RD ST, P.O. BOX 2994, LA GRANDE, OR 97850-1946
(541) 605-0330
(541) 605-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15649
OR
Other
Enumeration date
02/05/2008
Last updated
03/29/2014
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