| Jefferson Neurology Llc | |
|
2200 Bryant Williams Dr Ste 1 Klamath Falls OR 97601-1121 | |
| (541) 880-2902 | |
| (541) 884-0848 |
| Full Name | Jefferson Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2200 Bryant Williams Dr Ste 1, Klamath Falls, Oregon |
| Authorized Official Name and Position | Zakir M Ali (OWNDER) |
| Authorized Official Contact | 5414885515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Neurology Llc 1801 Highway 99 N Ste 2 Ashland OR 97520-9152 Ph: (541) 482-5515 | Jefferson Neurology Llc 2200 Bryant Williams Dr Ste 1 Klamath Falls OR 97601-1121 Ph: (541) 880-2902 |
| NPI Number | 1780909408 |
|---|---|
| Provider Enumeration Date | 04/06/2010 |
| Last Update Date | 01/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780909408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD25117 (Oregon) | Primary |
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