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Brian T. O 'Dollar, MD Nora V. Tabla, MD Meredith R. Baker, MD Matt S. Ashley, MD Bend Urology Associates Patient Information Date: Patient Name:Gender:Date of Birth://SSN:Age:Height:Male Female Weight:Marital
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Bend Urology Associates is a medical practice specializing in urology services.
Medical professionals and staff affiliated with Bend Urology Associates are required to file.
The forms can be filled out online or by visiting the office of Bend Urology Associates.
The purpose is to provide urology services to patients in the Bend area.
Information related to patient visits, treatments, and billing must be reported.
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