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NPI Code Detail

MEDICARE: JOHN GLENDON CURRIN

MEDICARE: JOHN GLENDON CURRIN
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1790530632
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN GLENDON CURRIN
Provider Business Mailing Address
First Line : PO BOX 1710, REDMOND OR 97756-0516
Second Line :
City : REDMOND
State : OR
Zip : 97756-0516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 358 NE MARSHALL AVE
Second Line :
City : BEND
State : OR
Zip : 97701-4364
Country : US
Telephone Number : 458-600-2325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2024
Last Update Date : 04/23/2024

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Directions to “ JOHN GLENDON CURRIN ” Practice Location

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