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Individual

MARC UEMURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 COUNTRY CLUB, EUGENE, OR 97401-6036
(541) 683-5001
(541) 683-1422
Mailing address
520 COUNTRY CLUB, EUGENE, OR 97401-6036
(541) 683-5001
(541) 683-1422

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q3823
TN
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
353407501
TX
Enumeration date
04/23/2010
Last updated
07/15/2021
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