| Southern Oregon Neurology Pc | |
|
897 Royal Ave Ste B Medford OR 97504-6121 | |
| (541) 779-4991 | |
| (541) 772-2910 |
| Full Name | Southern Oregon Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 897 Royal Ave, Medford, Oregon |
| Authorized Official Name and Position | Erika Huber (BOOKKEEPER) |
| Authorized Official Contact | 5417721119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oregon Neurology Pc 897 Royal Ave Ste B Medford OR 97504-6121 Ph: (541) 779-4991 | Southern Oregon Neurology Pc 897 Royal Ave Ste B Medford OR 97504-6121 Ph: (541) 779-4991 |
| NPI Number | 1164642682 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164642682 | NPI | - | NPPES |
| 182618 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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