Individual
JARED BROUGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 STATE ST, MEDFORD, OR 97504-8458
(541) 779-1672
Mailing address
2900 STATE ST, MEDFORD, OR 97504-8458
(541) 779-1672
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
DR.0071013
CO
207T00000X
Neurological Surgery Physician
MD222114
OR
Other
Enumeration date
04/08/2016
Last updated
04/21/2025
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