Organization
INOVIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYLIZ M CHAPMAN (ADMINISTRATOR)
(413) 828-3465
Entity
Organization
Contact information
Practice address
2200 NE NEFF RD STE 204, BEND, OR 97701-4281
(541) 382-8346
(541) 382-5796
Mailing address
2200 NE NEFF RD STE 204, BEND, OR 97701-4281
(541) 382-8346
(541) 382-5796
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD25193
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500616902
—
OR
Enumeration date
05/23/2007
Last updated
10/28/2021
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