Individual
DR. DARRELL E GENSTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 14TH AVE SE, ALBANY, OR 97322
(541) 928-1667
(541) 928-1817
Mailing address
2700 14TH AVE SE, ALBANY, OR 97322
(541) 928-1667
(541) 928-1817
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD13815
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291583
—
OR
Enumeration date
08/31/2006
Last updated
07/08/2007
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