Organization
SAGE WOMEN'S IMAGING AND SPECIALTY ULTRASOUND, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL SARA FAY MD (PRESIDENT)
(541) 851-9395
Entity
Organization
Contact information
Practice address
404 S 4TH ST, KLAMATH FALLS, OR 97601-6168
(541) 851-9395
Mailing address
404 S 4TH ST, KLAMATH FALLS, OR 97601-6168
(541) 851-9395
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD187189
OR
Other
Enumeration date
06/04/2018
Last updated
12/23/2020
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