# MT. EMILY MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811175565
- **Authorized official:** DR. VIRGIL HILARN DUVERNAY MD, PHD, FACP (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (541) 805-9831

## Contact information

- **Practice address:** 204 3RD ST, LA GRANDE, OR 97850-1946
- **Practice address phone:** (541) 605-0330
- **Practice address fax:** (541) 605-0330
- **Mailing address:** 204 3RD ST, P.O. BOX 2994, LA GRANDE, OR 97850-1946
- **Mailing address phone:** (541) 605-0330
- **Mailing address fax:** (541) 605-0330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD15649 | OR | Yes |

## Other

- **Enumeration date:** 02/05/2008
- **Last updated:** 03/29/2014