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Individual

DANIEL MERRILL COONTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2780 E BARNETT RD, MEDFORD, OR 97504-8674
(541) 779-6250
(541) 772-2531
Mailing address
2780 E BARNETT RD, MEDFORD, OR 97504-8674
(541) 779-6250
(541) 772-2531

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201803062NP-PP
OR

Other

Enumeration date
05/04/2018
Last updated
05/04/2018
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