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Organization
VENTANA WELLNESS, PC
Active
Organization
VENTANA WELLNESS, PC
Active
Other names
Southern Oregon Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK RICHARD NOODLEMAN MD (OWNER)
(541) 773-9772
Entity
Organization
Contact information
Practice address
3156 STATE STREET, MEDFORD, OR 97504-8450
(541) 773-9772
(541) 773-1113
Mailing address
3156 STATE STREET, MEDFORD, OR 97504-8450
(541) 773-9772
(541) 773-1113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06-00024661
OR
Other
Enumeration date
07/10/2006
Last updated
11/16/2015
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