| Rogue Valley Family Practice, Pc | |
|
691 Murphy Rd Suite 224 Medford OR 97504-4346 | |
| (541) 608-3764 | |
| (541) 608-4796 |
| Full Name | Rogue Valley Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 691 Murphy Rd, Medford, Oregon |
| Authorized Official Name and Position | Lary Parker Stieglitz (PRESIDENT) |
| Authorized Official Contact | 5416083764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Valley Family Practice, Pc 691 Murphy Rd Suite 224 Medford OR 97504-4346 Ph: (541) 608-3764 | Rogue Valley Family Practice, Pc 691 Murphy Rd Suite 224 Medford OR 97504-4346 Ph: (541) 608-3764 |
| NPI Number | 1770669467 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770669467 | NPI | - | NPPES |
| 042929 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD16343 (Oregon) | Primary |
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