Organization
MB HEALTHCARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGUERITE SMITH JR. NP-C (1/2 OWNER)
(541) 779-5877
Entity
Organization
Contact information
Practice address
33 N CENTRAL AVE, SUITE 425, MEDFORD, OR 97501-5900
(541) 779-5877
(541) 664-3287
Mailing address
PO BOX 965, MEDFORD, OR 97501-0069
(541) 779-5877
(541) 664-3287
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
79042695
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240508
—
OR
Enumeration date
09/15/2006
Last updated
03/19/2008
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