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Organization

ROBERT J. BERECZ, M.D., F.A.C.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNY R ALBERTSON (OFFICE MANAGER)
(541) 289-6575
Entity
Organization

Contact information

Practice address
600 NW 11TH ST, SUITE 33, HERMISTON, OR 97838-8605
(541) 289-6575
(541) 289-6577
Mailing address
600 NW 11TH ST, SUITE 33, HERMISTON, OR 97838-8605
(541) 289-6575
(541) 289-6577

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD09067
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
053182000
BLUE CROSS BLUE SHIELD
OR
05
110569
OR
01
MD09067
OREGON LICENSE
Enumeration date
04/01/2008
Last updated
04/01/2008
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