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Individual

DAVID VANSCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3299 HILYARD ST, EUGENE, OR 97405-3721
(541) 342-3338
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD28366
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
279299
OR
Enumeration date
01/08/2007
Last updated
01/17/2013
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