# INSTITUTE OF DIABETES AND ENDOCRINOLOGY PC

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

## Provider details

- **NPI number:** 1477549194
- **Authorized official:** MR. RICHARD L EDDY MD (PRESIDENT CEO)
- **Authorized official phone:** (541) 776-2003

## Contact information

- **Practice address:** 221 W STEWART AVE, SUITE 101, MEDFORD, OR 97501-3609
- **Practice address phone:** (541) 776-2003
- **Practice address fax:** (541) 796-9833
- **Mailing address:** 221 W STEWART AVE, SUITE 101, MEDFORD, OR 97501-3609
- **Mailing address phone:** (541) 776-2003
- **Mailing address fax:** (541) 796-9833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD21000 | OR | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD21518 | OR | — |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 09/11/2025