Glen S Roseborough in Salem - Vascular Surgery
Glen S Roseborough - NPI 1518903186
Glen S Roseborough is a Vascular Surgery in Salem, Oregon. Glen S Roseborough practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Glen S Roseborough is 1518903186. The last update date is 2015-09-01.
Glen S Roseborough's current location address is 2480 Liberty St Ne, Salem, Oregon. You can contact this provider via phone number 5033711756 and fax number 5035847971. The mailing address for Glen S Roseborough is 2480 Liberty St Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Glen S Roseborough |
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Address | 2480 Liberty St Ne, Salem, Oregon |
Phone Number | 5033711756 |
Fax Number | 5035847971 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1518903186 |
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Provider Enumeration Date | 2006-06-21 |
Last Updated Date | 2015-09-01 |
Provider Mailing Address Detail
Address | 2480 Liberty St Ne |
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City | Salem |
State | Oregon (OR) |
Post Code | 973018381 |
Phone Number | 5033711756 |
Fax Number | 5035847971 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Licence No | MD150190 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
500612667 | OR | -- | |
P00800072 | OR | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Glen S Roseborough by the Centers for Medicare & Medicaid Services?
The Glen S Roseborough has been issued the NPI (National Provider Identifier) 1518903186 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Glen S Roseborough's physical address?
The Glen S Roseborough is physically located at 2480 Liberty St Ne, in the city of Salem, OR, with the postal code 973018381.
What is Glen S Roseborough's area of expertise and its corresponding taxonomy classification?
The Glen S Roseborough's field of specialization is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their areas of practice.
When did Glen S Roseborough receive its 1518903186 assignment?
The Glen S Roseborough was assigned its 1518903186 on 2006-06-21, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Glen S Roseborough most recently updated or revised?
The details related to Glen S Roseborough, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-01.
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