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DR. PAUL C VITT DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1831144674

Individual Registrant:
DR. PAUL C VITT DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
116 N HIGHWAY 101 UNIT B  DEPOE BAY, OR 97341-1947 US
Tel: 541-921-3584  Fax: 541-614-1291

Contact information for business:
PO BOX 765  DEPOE BAY, OR 97341-0765 US
Tel: 541-921-3584  Fax: 541-614-1291

Registration Information:
NPI: 1831144674
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MO2004019714

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
500672642OR05




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