Organization
MT. EMILY MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGIL HILARN DUVERNAY MD, PHD, FACP (CHIEF EXECUTIVE OFFICER)
(541) 805-9831
Entity
Organization
Contact information
Practice address
204 3RD ST, LA GRANDE, OR 97850-1946
(541) 605-0330
(541) 605-0330
Mailing address
204 3RD ST, P.O. BOX 2994, LA GRANDE, OR 97850-1946
(541) 605-0330
(541) 605-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15649
OR
Other
Enumeration date
02/05/2008
Last updated
03/29/2014
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