| Timothy R. Driver, Md P.c. | |
|
2900 Doctors Park Dr Suite 100 Medford OR 97504-8198 | |
| (541) 772-6600 | |
| (541) 779-1266 |
| Full Name | Timothy R. Driver, Md P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 2900 Doctors Park Dr, Medford, Oregon |
| Authorized Official Name and Position | Timothy Robert Driver (OWNER) |
| Authorized Official Contact | 5417726600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy R. Driver, Md P.c. 2900 Doctors Park Dr Suite 100 Medford OR 97504-8198 Ph: (541) 772-6600 | Timothy R. Driver, Md P.c. 2900 Doctors Park Dr Suite 100 Medford OR 97504-8198 Ph: (541) 772-6600 |
| NPI Number | 1164656948 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 05/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164656948 | NPI | - | NPPES |
| 262725 | Medicaid | OR | |
| 001930003 | Other | OR | BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD10723 (Oregon) | Primary |
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