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Individual

THOMAS P. STITES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
360 S GARDEN WAY, SUITE 290, EUGENE, OR 97401-8173
(541) 345-2205
(541) 345-4480
Mailing address
360 S GARDEN WAY, SUITE 290, EUGENE, OR 97401-8173
(541) 345-2205
(541) 345-4480

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD27901
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274724
OR
Enumeration date
05/10/2006
Last updated
09/30/2015
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