Individual
STEWART DANDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD196720
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D86804
LICENSE
MD
Enumeration date
03/28/2016
Last updated
07/03/2020
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