David N Procknow, MD | |
1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | |
(541) 471-3455 | |
Not Available |
Full Name | David N Procknow |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1701 Nw Hawthorne Ave, Grants Pass, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780752782 | NPI | - | NPPES |
028642 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD16495 (Oregon) | Primary |
Entity Name | Siskiyou Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427046903 PECOS PAC ID: 6305747288 Enrollment ID: O20040114000536 |
Mailing Address | Practice Location Address |
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David N Procknow, MD 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 Ph: () - | David N Procknow, MD 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 Ph: (541) 471-3455 |
Gregory Robert Owens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Michael F. Mccaskill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Timber Lane, Grants Pass, OR 97526 Phone: 541-474-2767 | |
Martin P Hill, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Sw Ramsey Ave., Grants Pass, OR 97527 Phone: 541-472-7000 | |
Eric J Loeliger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey Avenue, Grants Pass, OR 97527 Phone: 541-472-7000 Fax: 701-323-5709 | |
Douglas J Howard, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 S.w. Ramsey Avenue, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Peter P Rist, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey Ave., Grants Pass, OR 97527 Phone: 541-472-7000 | |
Dr. Christopher K David, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 |