Individual
EDMUND PENNINGTON PILLSBURY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1460 NE MEDICAL CENTER DR, BEND, OR 97701-6061
(541) 382-6633
Mailing address
1460 NE MEDICAL CENTER DR, BEND, OR 97701-6061
(541) 382-6633
(541) 383-1615
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14108
NV
2085R0202X
Diagnostic Radiology Physician
A120796
CA
2085R0202X
Diagnostic Radiology Physician
M8921
TX
2085R0202X
Diagnostic Radiology Physician
MD209731
OR
Other
Enumeration date
07/23/2007
Last updated
03/02/2023
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