Organization
PONDEROSA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT B LEE MD (PHYSICIAN)
(541) 312-8679
Entity
Organization
Contact information
Practice address
1558 SW NANCY WAY, SUITE 101, BEND, OR 97702-3216
(541) 312-8679
Mailing address
1558 SW NANCY WAY, SUITE 101, BEND, OR 97702-3216
(541) 312-8679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD12002
OR
Other
Enumeration date
05/20/2006
Last updated
08/22/2020
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