Organization
SYNERGY MEDICAL SYSTEMS, LLC
Active
Parent organization
SYNERGY MEDICAL SYSTEMS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYNERGY MEDICAL SYSTEMS, LLC
Authorized official
CLARK GOODMAN (CEO)
(541) 343-3758
Entity
Organization
Contact information
Practice address
2650 SUZANNE WAY, SUITE 130, EUGENE, OR 97408-7319
(541) 343-3758
(541) 465-1165
Mailing address
2650 SUZANNE WAY, SUITE 130, EUGENE, OR 97408-7319
(541) 343-3758
(541) 465-1165
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
25801796
OR
Other
Enumeration date
12/09/2011
Last updated
12/21/2011
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