Individual
DR. ELLEN GOLODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
61425 DAVIS LAKE LOOP, BEND, OR 97702-1955
(541) 848-7360
Mailing address
61425 DAVIS LAKE LOOP, BEND, OR 97702-1955
(541) 848-7360
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
48989-020
WI
207RG0100X
Gastroenterology Physician
MD2006-0056
NM
207RG0100X
Gastroenterology Physician
Primary
MD26954
OR
Other
Enumeration date
12/07/2005
Last updated
09/03/2008
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