Organization
BEND UROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GENE JORDAN (ADMINISTRATOR)
(541) 382-6447
Entity
Organization
Contact information
Practice address
2090 NE WYATT CT, SUITE 101, BEND, OR 97701-7687
(541) 382-6447
(541) 330-7413
Mailing address
2090 NE WYATT CT, SUITE 101, BEND, OR 97701-7687
(541) 382-6447
(541) 330-7413
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/07/2006
Last updated
08/22/2020
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