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Organization
PHYSICIANS MEDICAL GROUP, PC
Active
Organization
PHYSICIANS MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE STEPHENS (OFFICE MANAGER)
(541) 474-1020
Entity
Organization
Contact information
Practice address
1619 NW HAWTHORNE AVE STE 201, GRANTS PASS, OR 97526-6009
(541) 474-1020
Mailing address
1619 NW HAWTHORNE AVE STE 201, GRANTS PASS, OR 97526-6009
(541) 474-1020
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
08/30/2006
Last updated
01/28/2011
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