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Individual

ERIC J LOELIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 SW RAMSEY AVENUE, GRANTS PASS, OR 97527-5554
(541) 472-7000
(701) 323-5709
Mailing address
100 EAST MAIN STREET, SUITE C, MEDFORD, OR 97501-6041
(541) 789-5516
(541) 789-5518

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9965
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13486
ND
05
245853
OR
Enumeration date
08/31/2006
Last updated
11/10/2011
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