| Pmg South Cardiovascular Surgery | |
|
940 Royal Ave Suite 450 Medford OR 97504-6193 | |
| (541) 732-7850 | |
| Not Available |
| Full Name | Pmg South Cardiovascular Surgery |
|---|---|
| Speciality | Clinic/center |
| Location | 940 Royal Ave, Medford, Oregon |
| Authorized Official Name and Position | John Jackson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5417326000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmg South Cardiovascular Surgery Po Box 3319 Medford OR 97502-0012 Ph: () - | Pmg South Cardiovascular Surgery 940 Royal Ave Suite 450 Medford OR 97504-6193 Ph: (541) 732-7850 |
| NPI Number | 1568689701 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568689701 | NPI | - | NPPES |
| CG6801 | Other | OR | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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