NPI 1750699542

Southern Oregon Colon and Rectal Surgical Associates LLC

Organisation Colon & Rectal Surgery Physician Grants Pass, OR

Practice location

Address: 520 SW Ramsey Ave STE 204, Grants Pass, OR 97527-5535
Phone: (541) 479-8308
Fax: (541) 474-0447

Authorised official

Name: Richard S Nelson
Title: Owner
Phone: (541) 479-8308

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence DO29287 (OR)

Other Colon & Rectal Surgery providers in Oregon →

Registry record

NPI: 1750699542
Entity type: Organization
NPI issued: 15 Sep 2010
Record last updated: 14 Oct 2010

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.