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Centennial Medical Group, Inc
Urology Physician in Roseburg, Oregon
NPI 1225207152

Centennial Medical Group, Inc is a Urology Physician based in Roseburg, OR. Centennial Medical Group, Inc practices in Roseburg, OR. The NPI Number for Centennial Medical Group, Inc is 1225207152 and holds a License No. 497634-93 (Oregon).

The current practice location address for Centennial Medical Group, Inc is 2460 Nw Stewart Parkway,, Roseburg, OR and can be reached out via phone at 541-677-6141 and via fax at 541-677-6143. You can also correspond with Centennial Medical Group, Inc through the mailing address at P.O. BOX 910, ROSEBURG, OR - 97470 (mailing address contact number: 541-677-6141).

Location: 2460 Nw Stewart Parkway,, Roseburg, OR, 97470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225207152
Provider Name
Centennial Medical Group, Inc
Credential
Provider Entity Type
Organization
Address
2460 Nw Stewart Parkway,, Roseburg, OR, 97470
Phone Number
541-677-6141
Fax Number
541-677-6143
Provider Enumeration Date
02/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171678 05 OR
institution
Provider Business Practice Location Address Details
Address
2460 Nw Stewart Parkway,
City
Roseburg
State
Oregon
Zip
97471
Phone Number
541-677-6141
Fax Number
541-677-6143
person
Provider Business Mailing Address Details
Address
2460 Nw Stewart Parkway,
City
Roseburg
State
Oregon
Zip
97471
Phone Number
541-677-6141
Fax Number
541-677-6143
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
497634-93 (Oregon)
Definition
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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