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Organization

RETINA & VITREOUS CENTER OF SOUTHERN OREGON, PC

Active
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Organization

RETINA & VITREOUS CENTER OF SOUTHERN OREGON, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM S RODDEN MD (PRESIDENT)
(541) 488-3192
Entity
Organization

Contact information

Practice address
3516 EXCEL DR, MEDFORD, OR 97504-9750
(541) 488-3192
Mailing address
246 CATALINA DR, ASHLAND, OR 97520-1624
(541) 488-3192
(541) 488-0646

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—

Other

Enumeration date
11/21/2018
Last updated
11/21/2018
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