# ROGUE ENDOCRINOLOGY AND METABOLIC CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306894647
- **Authorized official:** MRS. KARISSA K STULTS (OPERATIONS MANAGER)
- **Authorized official phone:** (541) 773-9772

## Contact information

- **Practice address:** 3144 STATE ST, MEDFORD, OR 97504-8450
- **Practice address phone:** (541) 772-9355
- **Practice address fax:** (541) 772-6355
- **Mailing address:** 3144 STATE ST, MEDFORD, OR 97504-8450
- **Mailing address phone:** (541) 772-9355
- **Mailing address fax:** (541) 772-6355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 11/13/2007