Individual
DR. NICOLA J CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2580 DAGGETT AVE, KLAMATH FALLS, OR 97601-1127
(541) 884-1224
(541) 884-8030
Mailing address
PO BOX 5109, KLAMATH FALLS, OR 97601-0119
(541) 882-1540
(541) 882-2583
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD21778
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288475
—
OR
Enumeration date
05/25/2006
Last updated
03/22/2013
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