Organization
GI ENDOSCOPY CENTER, INC
Active
Other names
GI Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH D DIXON (ASSISTANT ADMINISTRATOR)
(541) 957-7734
Entity
Organization
Contact information
Practice address
2560 NW MEDICAL PARK DR, ROSEBURG, OR 97470-5510
(541) 673-2046
(541) 673-0454
Mailing address
2560 NW MEDICAL PARK DR, ROSEBURG, OR 97470-5510
(541) 673-2046
(541) 673-0454
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
071432
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007034
—
OR
Enumeration date
01/20/2006
Last updated
08/22/2020
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