LLC – Family Medicine Physician, NPI 1740368901
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LLC
Bandon, The Municipal District of Bandon-Kinsale, County Cork, Munster, Ireland
BANDON, OR 97411
Phone: (541) 347-2111
Fax: (541) 347-1212
Type: Mailing
475, Elmira Avenue Southeast, Bandon, Coos County, Oregon, 97411, United States
SUITE 103
BANDON, OR 974117405
Phone: (541) 347-2111
Fax: (541) 347-1212
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97411)
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