CLYDE BANCROFT, PA

PA

Physician Assistant

NPI: 1841397742IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA00866(OR)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2003

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Contact & Hours

Address: 2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 97471
Phone: (541) 677-7200

Quick Facts

NPI: 1841397742
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 23

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