Patrick Beauregard Vondippe, MD
Emergency Medicine in Coos Bay, OR. Individual provider (NPI-1).
NPI number1043326432
StatusActive
Last updated in NPPESDec 16, 2015
Details
- NPI
- 1043326432
- Entity type
- Individual (NPI-1)
- Name
- Patrick Beauregard Vondippe
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Dec 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD27158 | OR | Yes |
| 207P00000X | Emergency Medicine | 7775 | NV |
Practice location
1775 Thompson RdCoos Bay, OR 97420-2125
Phone 541-269-8085
Mailing address
1775 Thompson RdCoos Bay, OR 97420-2125
Phone 541-269-8085
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