Organization
MARY'S PEAK EMERGENCY PHYSICIANS
Active
Organization
MARY'S PEAK EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER D. GOWING DO (PRESIDENT)
(541) 768-5021
Entity
Organization
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5021
Mailing address
PO BOX 96353, OKLAHOMA CITY, OK 73143-6353
(800) 962-3303
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078548
—
OR
Enumeration date
08/04/2006
Last updated
11/15/2017
Update your record
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