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NPI Code Detail

MEDICARE: DR. GARY M PLANT MD

MEDICARE: DR. GARY M PLANT MD
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 PhysicianMD24923OR

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 : 1417900317
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY M PLANT MD
Provider Business Mailing Address
First Line : 76 NE 12TH ST
Second Line :
City : MADRAS
State : OR
Zip : 97741-1827
Country : US
Telephone Number : 541-475-3874
Fax Number : 541-475-3503
Provider Business Practice Location Address
First Line : 76 NE 12TH ST
Second Line :
City : MADRAS
State : OR
Zip : 97741-1827
Country : US
Telephone Number : 541-475-3874
Fax Number : 541-475-3503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 06/23/2010

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Directions to “ DR. GARY M PLANT MD” Practice Location

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