Organization
ANCILLARY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DODIE RACHEL NOLES (OWNER)
(541) 944-1247
Entity
Organization
Contact information
Practice address
302 E HERSEY ST, SUITE 1, ASHLAND, OR 97520-1200
(541) 944-1247
(541) 488-5885
Mailing address
302 E HERSEY ST, SUITE 1, ASHLAND, OR 97520-1200
(541) 944-1247
(541) 488-5885
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
OR
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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