Organization
COLUMBIA RIVER EYE CLINIC LLC
Active
Other names
Dr Daniel J Kelly MD SOLE MBR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOSEPH KELLY MD (OWNER)
(541) 298-5144
Entity
Organization
Contact information
Practice address
405 E 7TH ST, THE DALLES, OR 97058-2607
(541) 298-5144
(541) 298-5224
Mailing address
405 E 7TH ST, THE DALLES, OR 97058-2607
(541) 298-5144
(541) 298-5224
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/01/2007
Last updated
05/07/2008
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