NPI 1063722262

Centennial Medical Group North, LLC

Organisation Orthopaedic Surgery Physician Roseburg, OR

Practice location

Address: 2801 NW Mercy Dr STE 340, Roseburg, OR 97471-2348
Phone: (541) 677-2494
Fax: (541) 677-2294

Authorised official

Name: Rahul Agarwal
Title: President
Phone: (541) 677-2494

Registered specialties (2)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Oregon →

Orthopaedic Surgery of the Spine Physician

Allopathic & Osteopathic Physicians Taxonomy 207XS0117X

Registry record

NPI: 1063722262
Entity type: Organization
NPI issued: 21 Oct 2010
Record last updated: 16 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.