Individual
DR. JEROME STANFORD NITZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
273 GRANITE ST, ASHLAND, OR 97520-2746
(541) 488-2130
Mailing address
273 GRANITE ST, ASHLAND, OR 97520-2746
(541) 488-2130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11486
OR
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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