| Gregory a Aitchison MD PC | |
|
1295 Oregon Ave Bandon OR 97411-9102 | |
| (541) 347-9042 | |
| (541) 347-4720 |
| Full Name | Gregory a Aitchison MD PC |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1295 Oregon Ave, Bandon, Oregon |
| Authorized Official Name and Position | Gregory Allen Aitchison (PRESIDENT) |
| Authorized Official Contact | 5413479042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory a Aitchison MD PC Po Box 189 Bandon OR 94711-0189 Ph: (541) 347-9042 | Gregory a Aitchison MD PC 1295 Oregon Ave Bandon OR 97411-9102 Ph: (541) 347-9042 |
| NPI Number | 1740364413 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 11/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740364413 | NPI | - | NPPES |
| 277384 | Medicaid | OR | |
| 00024340000 | Other | OR | BLUE CROSS |
| 000845495000 | Other | OR | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
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