Organization · Type 2 NPI

Centennial Medical Group West, LLC

Surgical Physician Assistant · Roseburg, OR

NPI number 1063710192 Active

About NPI 1063710192

Centennial Medical Group West, LLC's National Provider Identifier is 1063710192, issued on Mar 15, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Roseburg, OR. The record was last updated on Mar 15, 2011.