Individual
DR. JUSTIN MATTHEW SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1408 E BARNETT RD, MEDFORD, OR 97504-8279
(541) 779-2020
(541) 770-6838
Mailing address
1408 E BARNETT RD, MEDFORD, OR 97504-8279
(541) 779-2020
(541) 770-6838
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
DO186862
OR
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
6124
OK
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
DO186862
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500743468
—
OR
Enumeration date
03/26/2013
Last updated
09/18/2020
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