Dr CLYDE T BANCROFT PA is a male medical professional, specializing in Physician Assistant. He graduated in 2003.
CENTENNIAL MEDICAL GROUP EAST, LLC
2510 NW MEDICAL PARK DR
ROSEBURG
OR
974715510
Tel: 5416777200400
| Npi | 1841397742 |
| Pac Id | 4688653298 |
| Professional Enrollment Id | I20040716000979 |
| Last Name | BANCROFT |
| First Name | CLYDE |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | CENTENNIAL MEDICAL GROUP EAST, LLC |
| Group Practice Pac Id | 9234397878 |
| Number Of Group Practice Members | 33 |
| Line 1 Street Address | 2510 NW MEDICAL PARK DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ROSEBURG |
| State | OR |
| Zip Code | 974715510 |
| Phone Number | 5416777200400 |
| Hospital Affiliation Ccn 1 | 380027 |
| Hospital Affiliation Lbn 1 | MERCY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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