NPI 1699706408

Cardiothoracic Surgeon, PC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Bend, OR

Practice location

Address: 2705 NE Conners Ave #100, Bend, OR 97701-6904
Phone: (541) 388-1636

Authorised official

Name: John D Blizzard
Title: Employee
Phone: (541) 388-1636

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1699706408
Entity type: Organization
NPI issued: 6 Jul 2006
Record last updated: 22 Aug 2020

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.