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NPI Code Detail

MEDICARE: MOUNTAINVIEW FAMILY PRACTICE PC

MEDICARE: MOUNTAINVIEW FAMILY PRACTICE PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063611093
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAINVIEW FAMILY PRACTICE PC
Provider Business Mailing Address
First Line : 741 NE 6TH ST
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-1556
Country : US
Telephone Number : 541-471-2701
Fax Number : 541-471-1166
Provider Business Practice Location Address
First Line : 741 NE 6TH ST
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-1556
Country : US
Telephone Number : 541-471-2701
Fax Number : 541-471-1166
Authorized Official
Title or Position : PHYSICIAN
Name : DR. DAVID J ABDUN-NUR
Credential : MD
Telephone Number : 541-471-2701
Provider Enumeration Date : 07/11/2007
Last Update Date : 11/19/2019

Similar Medicare Providers

1669475562 — DR. STEPHEN BERGMAN D.O.
Practice Location Address:
741 NE 6TH ST
GRANTS PASS, OR
97526-1556
Practice Phone: 541-471-2701
Practice Fax: 541-471-1166
1205833951 — DR. RICHARD WILLIAMS M.D.
Practice Location Address:
741 NE 6TH ST
GRANTS PASS, OR
97526-1556
Practice Phone: 541-471-2701
Practice Fax: 541-471-1166
1396737847 — DR. DAVID ABDUN-NUR M.D.
Practice Location Address:
741 NE 6TH ST
GRANTS PASS, OR
97526-1556
Practice Phone: 541-471-2701
Practice Fax: 541-471-1166
1467448381 — MS. CHELSEA C BURCHETTE PA-C
Practice Location Address:
741 NE 6TH ST
GRANTS PASS, OR
97526-1556
Practice Phone: 541-471-2701
Practice Fax: 541-471-1166
1124089271 — MRS. SENNIE ANDERSON FNP
Practice Location Address:
741 NE 6TH ST
GRANTS PASS, OR
97526-1556
Practice Phone: 541-471-2701
Practice Fax: 541-471-1166
1316560865 — DR. RACHEL JESSICA LAMMERS DNP, FNP-BC
Practice Location Address:
741 NE 6TH ST
GRANTS PASS, OR
97526-1556
Practice Phone: 541-471-3799
Practice Fax:

Directions to “MOUNTAINVIEW FAMILY PRACTICE PC ” Practice Location

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