Organization
SOUTHERN OREGON CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BODAGER (CEO)
(541) 789-5600
Entity
Organization
Contact information
Practice address
520 MEDICAL CENTER DR, STE 200, MEDFORD, OR 97504-4314
(541) 282-6600
(541) 282-6601
Mailing address
520 MEDICAL CENTER DR, STE 200, MEDFORD, OR 97504-4314
(541) 282-6600
(541) 282-6601
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1000026501
OR
Other
Enumeration date
10/14/2009
Last updated
05/04/2012
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