| Randell P Jura, Md, Pc | |
|
4666 Commercial St Se Salem OR 97302-1902 | |
| (503) 399-7607 | |
| Not Available |
| Full Name | Randell P Jura, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4666 Commercial St Se, Salem, Oregon |
| Authorized Official Name and Position | Randell P Jura (OWNER) |
| Authorized Official Contact | 5035229209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randell P Jura, Md, Pc 1295 Market St Ne Salem OR 97301-1371 Ph: (503) 522-9209 | Randell P Jura, Md, Pc 4666 Commercial St Se Salem OR 97302-1902 Ph: (503) 399-7607 |
| NPI Number | 1851484372 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 12/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851484372 | NPI | - | NPPES |
| 26053-9 | Medicaid | OR | |
| 1524 | Other | OR | WORKERS COMPENSATION OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12431 (Oregon) | Primary |
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