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Organization

EVERGREEN DERMATOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LINDSEY FIX MD (PHYSICIAN)
(252) 561-5558
Entity
Organization

Contact information

Practice address
21 HAYDEN BRIDGE WAY, SPRINGFIELD, OR 97477-1305
(541) 600-2017
Mailing address
21 HAYDEN BRIDGE WAY, SPRINGFIELD, OR 97477-1305
(541) 600-2017

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
02/10/2022
Last updated
01/30/2023
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