Provider First Line Business Practice Location Address:
1410 OAK ST
Provider Second Line Business Practice Location Address:
ATTN: KURTIS M. DOERR ALLEGIANCE MEDICAL, LLC
Provider Business Practice Location Address City Name:
EUGENE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97401-4604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-603-6205
Provider Business Practice Location Address Fax Number:
541-228-3860
Provider Enumeration Date:
06/20/2012