Organization · Type 2 NPI

Centennial Medical Group, Inc

Urology Physician · Roseburg, OR

NPI number 1225207152 Active

Practice location

2460 NW Stewart Parkway,, Suite 100
Roseburg, OR 97471

Fax (541) 677-6143

Mailing address

P.o. Box 910
Roseburg, OR 97470

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X497634-93 (OR)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1225207152

Centennial Medical Group, Inc's National Provider Identifier is 1225207152, issued on Feb 25, 2008. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Roseburg, OR. The record was last updated on Apr 4, 2012.