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MR. CLYDE TERRENCE BANCROFT PA

PA

Physician Assistant

NPI: 1841397742IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA00866(OR)

Education

OTHER

Class of 2003

Contact & Hours

Address
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 97471

Quick Facts

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

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