Individual
ERNEST ROBERT PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 OAK ST STE 7, EUGENE, OR 97401-7701
(541) 687-1927
(541) 683-8779
Mailing address
1550 OAK ST STE 7, EUGENE, OR 97401-7701
(541) 687-1927
(541) 683-8779
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD209014
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
08/02/2022
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