Individual
PATRICK BEAUREGARD VONDIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8085
Mailing address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
7775
NV
207P00000X
Emergency Medicine Physician
Primary
MD27158
OR
Other
Enumeration date
08/21/2006
Last updated
12/16/2015
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