Individual
DR. JOHN MARSHALL PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-8421
(541) 963-1845
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-8421
(541) 963-1845
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD14491
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127357
—
OR
Enumeration date
08/10/2006
Last updated
07/09/2007
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