Organization
SISKIYOU EYE CENTER, MEDICAL GROUP, PC
Active
Other names
Siskiyou Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BELMIRA PARDAL BORG (ADMINISTRATOR)
(541) 482-8100
Entity
Organization
Contact information
Practice address
648 N MAIN ST, ASHLAND, OR 97520-1710
(541) 482-8100
(541) 488-5081
Mailing address
648 N MAIN ST, ASHLAND, OR 97520-1710
(541) 482-8100
(541) 488-5081
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
209930-10
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053574
—
OR
05
—
289751
—
OR
05
—
298084
—
OR
Enumeration date
06/09/2005
Last updated
09/27/2007
Update your record
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