Individual
ERIC EARL COLGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 CHAMBERS ST, EUGENE, OR 97402-3636
(541) 338-7787
(541) 684-3077
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 338-7787
(541) 684-3077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD161353
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881674869
NPI
—
05
—
286359
—
OR
Enumeration date
01/18/2006
Last updated
01/30/2014
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