| James W. Theen, Md Pc | |
|
935 Town Centre Dr Suite B Medford OR 97504-6172 | |
| (541) 245-6050 | |
| Not Available |
| Full Name | James W. Theen, Md Pc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 935 Town Centre Dr, Medford, Oregon |
| Authorized Official Name and Position | James William Theen (PRESIDENT) |
| Authorized Official Contact | 5412456050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James W. Theen, Md Pc 935 Town Centre Dr Suite B Medford OR 97504-6172 Ph: (541) 245-6050 | James W. Theen, Md Pc 935 Town Centre Dr Suite B Medford OR 97504-6172 Ph: (541) 245-6050 |
| NPI Number | 1225225113 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225225113 | NPI | - | NPPES |
| R104728 | Other | OR | MEDICARE ID-PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD16267 (Oregon) | Primary |
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