Provider First Line Business Practice Location Address:
2700 STEWART PARKWAY
Provider Second Line Business Practice Location Address:
MERCY MEDICAL CENTER EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
ROSEBURG
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
94740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-673-0611
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2008