Organization
BDGR SURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PARKER PA (OWNER)
(541) 771-2318
Entity
Organization
Contact information
Practice address
3005 NE ROXY PL, BEND, OR 97701-3858
(541) 771-2318
Mailing address
3005 NE ROXY PL, BEND, OR 97701-3858
(541) 771-2318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
LL14731
OR
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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