Organization
DIABETES AND ENDOCRINOLOGY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JAMES MCCARTHY MD (PRESIDENT)
(541) 460-0222
Entity
Organization
Contact information
Practice address
63172 DESERT SAGE ST., BEND, OR 97701-7529
(541) 460-0222
Mailing address
63172 DESERT SAGE ST, BEND, OR 97701-7529
(541) 326-9448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD13438
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121319
—
OR
Enumeration date
09/20/2006
Last updated
08/22/2020
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