Provider First Line Business Practice Location Address:
2500 NEFF RD.
Provider Second Line Business Practice Location Address:
ST CHARLES MEDICAL CENTER
Provider Business Practice Location Address City Name:
BEND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
92201-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-706-5675
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2006