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Individual

JOHN FRANK GUY II II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1275 WALLACE RD NW, SALEM, OR 97304-3007
(503) 371-3232
(503) 375-2398
Mailing address
1275 WALLACE RD NW, SALEM, OR 97304-3007
(503) 371-3232
(503) 375-2398

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
709221
TX
207Q00000X
Family Medicine Physician
Primary
DO214773
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500823657
OR
Enumeration date
05/07/2020
Last updated
02/14/2024
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