NPI 1164782728

Brent L Soder, MD

Practitioner Surgery Physician Roseburg, OR

Practice location

Address: 2801 NW Mercy Dr STE 330, Roseburg, OR 97471-2348
Phone: (541) 677-3600
Fax: (541) 677-3601

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD187291 (OR)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1164782728
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2012
Record last updated: 2 May 2018

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.