Organization
STEPHANIE RICCALARSEN, MD, LLC
Active
Other names
Peachtree Family Medicine and Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE ANN RICCALARSEN MD (MEMBER)
(541) 637-5033
Entity
Organization
Contact information
Practice address
2282 NW TROOST ST STE 102, ROSEBURG, OR 97471-6072
(541) 440-9128
Mailing address
2282 NW TROOST ST STE 102, ROSEBURG, OR 97471-6072
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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