Organization
PETER E. PALACIO, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER E PALACIO M.D. (PHYSICIAN/OWNER)
(541) 323-3747
Entity
Organization
Contact information
Practice address
2450 NE MARY ROSE PL, SUITE 220, BEND, OR 97701-7132
(541) 323-3747
Mailing address
2450 NE MARY ROSE PL, SUITE 220, BEND, OR 97701-7132
(541) 323-3747
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD23150
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287546
—
OR
Enumeration date
07/01/2013
Last updated
07/01/2013
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