Individual
PETER EDWARD PALACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 NE MARY ROSE PL, SUITE 220, BEND, OR 97701-7132
(541) 385-8050
(541) 385-8589
Mailing address
2450 NE MARY ROSE PL, SUITE 220, BEND, OR 97701-7132
(541) 385-8050
(541) 385-8589
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23150
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287546
—
OR
Enumeration date
06/16/2005
Last updated
04/10/2008
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