Organization
APP NEUROLOGY CLINIC
Active
Parent organization
ASANTE PHYSICIAN PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASANTE PHYSICIAN PARTNERS
Authorized official
PATRICK HOCKING (CAFO)
(541) 789-4916
Entity
Organization
Contact information
Practice address
2900 STATE ST, SUITE 101, MEDFORD, OR 97504-8475
(541) 789-5791
(541) 789-5973
Mailing address
PO BOX 748157, LOS ANGELES, CA 90074-8157
(541) 789-5250
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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