Organization
MD MEDICAL ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JOSEPH PETTIT RPSGT (OWNER)
(513) 374-5986
Entity
Organization
Contact information
Practice address
4725 VILLAGE PLAZA LOOP, 201, EUGENE, OR 97401-6677
(541) 683-3325
(541) 343-4117
Mailing address
4725 VILLAGE PLAZA LOOP, 201, EUGENE, OR 97401-6677
(541) 683-3325
(541) 343-4117
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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