Dr BRANT D WOMMACK is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2004 from University Of Louisville School Of Medicine.
CENTRAL OREGON MAGNETIC RESONANCE IMAGING LLC
1531 NW CANAL BLVD
SUITE 110
REDMOND
OR
977561341
Tel: 5419234202
| Npi | 1023164613 |
| Pac Id | 7911050877 |
| Professional Enrollment Id | I20101025001081 |
| Last Name | WOMMACK |
| First Name | BRANT |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | CENTRAL OREGON MAGNETIC RESONANCE IMAGING LLC |
| Group Practice Pac Id | 8224058003 |
| Number Of Group Practice Members | 19 |
| Line 1 Street Address | 1531 NW CANAL BLVD |
| Line 2 Street Address | SUITE 110 |
| Marker Of Address Line 2 Suppression | |
| City | REDMOND |
| State | OR |
| Zip Code | 977561341 |
| Phone Number | 5419234202 |
| Hospital Affiliation Ccn 1 | 380047 |
| Hospital Affiliation Lbn 1 | ST CHARLES MEDICAL CENTER - BEND |
| Hospital Affiliation Ccn 2 | 381306 |
| Hospital Affiliation Lbn 2 | WALLOWA MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 381309 |
| Hospital Affiliation Lbn 3 | LAKE DISTRICT HOSPITAL |
| Hospital Affiliation Ccn 4 | 381307 |
| Hospital Affiliation Lbn 4 | HARNEY DISTRICT HOSPITAL |
| Hospital Affiliation Ccn 5 | 381313 |
| Hospital Affiliation Lbn 5 | ST CHARLES PRINEVILLE |
| Professional Accepts Medicare Assignment | Y |
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