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Organization

CENTER FOR REGENERATIVE ORTHOPEDIC MEDICINE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARL OSBORN D.O. (PRESIDENT)
(541) 842-7777
Entity
Organization

Contact information

Practice address
786 STATE ST, MEDFORD, OR 97504-8441
(541) 842-7777
(541) 842-4310
Mailing address
786 STATE ST, MEDFORD, OR 97504-8441
(541) 842-7777
(541) 842-4310

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
DO22851
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255431151
NPI 1255431151
OR
Enumeration date
08/09/2016
Last updated
08/09/2016
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