Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERIC J VAN DIS, MD
ActiveCardiovascular Disease · ROSEBURG, OR
Registration Details
- NPI Number
- 1093786261
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2006 (20.281930971086 yrs)
- Last Updated
- May 26, 2020
- License
-
MD12356 (OR)
Practice Information
- Address
-
2801 NW MERCY DRSTE. 300ROSEBURG, OR, 97471Browse OR providers · Browse ZIP 97471
- Phone
- 5416771555
- Fax
- 5416776543
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Other Cardiovascular Disease Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| DOUGLAS EDWARD ANDERSON | MD | 1841294774 |
| DR. LESLIE VERNOR WALKER | MD/MS/ BS/AB | 1992728760 |
| CYNTHIA BROWNSON KREMSER | MD | 1083703078 |
| GARY BRONSTEIN | M.D. | 1932284528 |
| ASHIYA KHAN | MD | 1346892049 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.