Individual provider · Type 1 NPI

Frederic J. Van Dis, MD

Cardiovascular Disease Physician · Roseburg, OR

NPI number 1093786261 Active

Practice location

2801 NW Mercy Dr, Ste. 300
Roseburg, OR 97471

Fax (541) 677-6543

Mailing address

201 NW Medical Loop Ste 190
Roseburg, OR 97471-8835

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XMD12356 (OR)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1093786261

Frederic J. Van Dis, MD's National Provider Identifier is 1093786261, issued on Jan 27, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Roseburg, OR. The record was last updated on May 26, 2020.