Organization
NEUROLOGY OF BEND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY DAVID BUCHHOLZ MD (MEMBER)
(541) 388-3311
Entity
Organization
Contact information
Practice address
2421 NE DOCTORS DR, BEND, OR 97701-6031
(541) 388-3311
(541) 389-1887
Mailing address
2421 NE DOCTORS DR, BEND, OR 97701-6031
(541) 388-3311
(541) 389-1887
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213485
—
OR
Enumeration date
02/16/2007
Last updated
12/04/2007
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