Individual
DR. DAVID CANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 MAPLE ST, ASHLAND, OR 97520-1552
(541) 201-4000
Mailing address
PO BOX 490, GRANTS PASS, OR 97528-0041
(541) 955-4655
(541) 955-4655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31332
CO
207Q00000X
Family Medicine Physician
Primary
MD17629
OR
Other
Enumeration date
05/23/2005
Last updated
09/03/2011
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