Organization
BANDON FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN MARIE HOLLAND M.D. (SOLE MEMBER)
(541) 329-1362
Entity
Organization
Contact information
Practice address
475 ELMIRA AVE SE STE 201, BANDON, OR 97411-7409
(541) 329-1362
(541) 329-1364
Mailing address
475 ELMIRA AVE SE STE 201, BANDON, OR 97411-7409
(541) 329-1362
(541) 329-1364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27591
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244093
—
OR
Enumeration date
09/27/2007
Last updated
07/09/2009
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