Organization
CENTENNIAL MEDICAL GROUP NORTH, LLC
Active
Parent organization
CENTENNIAL MEDICAL GROUP, INC.
Other names
Centennial Orthopedics
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTENNIAL MEDICAL GROUP, INC.
Authorized official
RAHUL AGARWAL (PRESIDENT)
(541) 677-2494
Entity
Organization
Contact information
Practice address
277 NW MEDICAL LOOP, ROSEBURG, OR 97471-1644
(541) 677-2131
(541) 677-2136
Mailing address
2801 NW MERCY DR, SUITE 340, ROSEBURG, OR 97471-2348
(541) 677-2494
(541) 677-2294
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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