Organization Name: | SANTIAM MEDICAL GROUP LLC |
NPI Number: | 1063731271 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNDA FRASER (CLINIC COORDINATOR) |
Mailing Address: | 1373 N 10th Ave Stayton |
State: | OR US |
Postal Code: | 973832037 |
Phone Number: | 5037699522 |
Fax Number: | 5037699530 |
NPI Enumeration Date: | 05/27/2010 |
NPI Last Update Date: | 10/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |