Institute Of Diabetes And Endocrinology Pc | |
221 W Stewart Ave Suite 101 Medford OR 97501-3609 | |
(541) 776-2003 | |
(541) 796-9833 |
Full Name | Institute Of Diabetes And Endocrinology Pc |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 221 W Stewart Ave, Medford, Oregon |
Authorized Official Name and Position | Richard L Eddy (PRESIDENT CEO) |
Authorized Official Contact | 5417762003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Institute Of Diabetes And Endocrinology Pc 221 W Stewart Ave Suite 101 Medford OR 97501-3609 Ph: (541) 776-2003 | Institute Of Diabetes And Endocrinology Pc 221 W Stewart Ave Suite 101 Medford OR 97501-3609 Ph: (541) 776-2003 |
NPI Number | 1477549194 |
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Provider Enumeration Date | 09/27/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1477549194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD21000 (Oregon) | Primary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD21518 (Oregon) | Primary |
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