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Organization
ASSOCIATES FOR WOMENS HEALTH OF SOUTHERN OREGON LLC
Active
Organization
ASSOCIATES FOR WOMENS HEALTH OF SOUTHERN OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL G CARBONELL MD (OWNER)
(541) 773-1565
Entity
Organization
Contact information
Practice address
3190 STATE ST STE 102, MEDFORD, OR 97504-8498
(541) 773-1565
(541) 773-1929
Mailing address
3190 STATE ST STE 102, MEDFORD, OR 97504-8498
(541) 773-1565
(541) 773-1929
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
02/16/2011
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