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Organization

ALBANY GENERAL HOSPITAL

Active
Other names
Samaritan Urology
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID TRIEBES (CEO)
(541) 812-4102
Entity
Organization

Contact information

Practice address
631 ELM ST SW, SUITE 201, ALBANY, OR 97321-1952
(541) 812-4388
Mailing address
631 ELM ST SW, SUITE 201, ALBANY, OR 97321-1952
(541) 812-4388

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
03/29/2012
Last updated
03/29/2012
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