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NPI Code Detail

MEDICARE: DR. LARY PARKER STIEGLITZ M.D.

MEDICARE: DR. LARY PARKER STIEGLITZ M.D.
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 PhysicianMD16343OR

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 : 1548456031
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARY PARKER STIEGLITZ M.D.
Provider Business Mailing Address
First Line : 8495 CRATER LAKE HWY
Second Line : VASORCC
City : WHITE CITY
State : OR
Zip : 97503-3011
Country : US
Telephone Number : 541-826-2111
Fax Number : 541-830-7470
Provider Business Practice Location Address
First Line : 150 S WALL ST
Second Line :
City : COOS BAY
State : OR
Zip : 97420-3233
Country : US
Telephone Number : 541-435-7200
Fax Number : 541-888-0025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2007
Last Update Date : 11/12/2025

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